GTCYS Symphony Tour Chaperone Release & Emergency Contact Form

"*" indicates required fields

I am volunteering my time as a chaperone with the Greater Twin Cities Youth Symphonies (GTCYS) on its Tour of Italy. I understand that I will not be compensated or receive any benefits in return for my volunteer hours. My volunteer work will not be considered as a factor in any future GTCYS employment decisions. I understand that I am free to decline volunteer work at any time in the future.

I understand that although I am not an employee of GTCYS, if I incur any injuries during my volunteer activities, I will be covered by GTCYS’ workers’ compensation insurance which shall be my sole remedy against GTCYS for any such injuries.

I understand that my participation as a volunteer with the 2022 Symphony Tour to Italy is completely voluntary and that I or GTCYS may end this volunteer relationship at any time.

Full name of chaperone*

First Last

Signature (type full name)*

Today's date*

My typed name constitutes my legal signature

Emergency Contact information

Please complete so GTCYS can contact someone in your network in the event of an emergency.

Emergency Contact 1 Full Name*

Emergency Contact 1 Relationship to you*

Emergency Contact 1 Cell Phone Number*

Emergency Contact 2 Full Name*

Emergency Contact 2 Relationship to you*

Emergency Contact 2 Cell Phone Number*

Greater Twin Cities Youth Symphonies Mark Russell Smith, Artistic Director

GTCYS Symphony Tour Chaperone Release & Emergency Contact Form

GTCYS Symphony Tour Chaperone Release & Emergency Contact Form

Emergency Contact information

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