Children's Cancer House

Miracle Week Volunteer Application

Please check all that interest you.

Time Commitment: Work one (1) or two (2) 4-hour shifts each day (Tues-Sun) during Miracle.

Please check your preference(s).

Applicant Information

Emergency Contact Information


Provide Name(s) and contact information of at least two individuals outside of family members that can attest to your work ethic and character. At least one of these individuals should be a person with whom you have worked closely.

Contact #1

Contact #2

Consent and Waiver

By submitting this form, I hereby certify that the information in this application is correct to the best of my knowledge. I authorize agents of the Children’s Cancer House for the Arts to check with the appropriate authorities regarding my background and history. I understand that should I be offered a volunteer position, any misrepresentation by me may lead to termination. I also understand that my service may be terminated with or without cause at anytime by CCH. If accepted, I will abide by the rules and regulations set by CCH. I understand that completing this application process does not guarantee acceptance as a volunteer. To ensure the safety and security of the children and all our guests, there will be a background check done and oath signed by all applicants. By initialing below I agree to release any and all rights to any such media materials that CCH may develop to this end with me or my child’s voice or likeness.