Email*

First name*

Last name*

Shirt Size*

Shirts are unisex, poly-cotton blend. Sizes selection is guaranteed until August 31.

How are you connected to Day of Impact?*

Please select the option that fits best.

Waiver & Release

Please review the following documents. Agreeing to these terms is a requirement for volunteering with Early Learning Indiana:

Volunteer Liability Waiver and Photo Release

I have reviewed and accept the terms of the volunteer liability waiver.*

Emergency Contact Name

In case of emergency, who should we contact?

Emergency Contact Phone Number

Please provide the mobile phone number for the contact listed above.