EYA / Parent contact information will not be shared with third parties. Only to be used for communication about Ekam activities via group text or whatsapp so you don’t miss important notifications about chapter activities

EYA's Information

EYA's First Name *

EYA's Last Name *

EYA's Email *

Please do not use the same email as parent

EYA's Phone Number

Will be used only for chapter communications

Address

City *

Country *

Zipcode

Birth Year *

Grade *

Chapter *

EYA's Citizenship *

US Citizen

Permanent Resident

Other

The President’s Volunteer Service Award is only given to US Citizens and Permanent Residents. Ekam USA gives a special recognition to those who are not citizens/ permanent residents, if they meet the criteria.

Role(s) EYA is Interested in *

Volunteer at Community Activities and Events

Help with fundraising activities

Help with membership drives

Other

Parent's Information

Parent's First Name *

Parent's Last Name *

Parent's Email *

Please do not use the same email as EYA

Parent's Phone Number *

Second Parent's Email

Second Parent's Phone Number

Would you (parent) be able to help with specific tasks in Ekam USA? *

Yes

Maybe

Ekam’s goal is to encourage volunteering as a family to improve youth and parent bonding. Chapter directors need your support in organizing events for EYAs.

Employer's Name *

Please check your / your spouse’s employer participates in an employee matching program.

Check here - Charity Navigator.

Please contact finance@ekamusa.org if you need details about Ekam to apply for matching.

Would you like to support Ekam USA’s work? *

Yes

Donate here - Donate for Ekam USA

I agree to all waivers of Ekam USA. *

Liability Waiver (Parent)
I understand any risk of injury that may occur during volunteering activities to myself or my family members and do not hold Ekam USA liable.

Media Waiver (Parent)
I permit Ekam USA to use group photos, audio, video, etc of me/my child/my family at volunteering/events on Ekam’s website, social media, marketing materials, etc.

Permission (Parent)
I hereby consent for my child to register as an Ekam Youth Ambassador I agree to receive periodic newsletters about Ekam USA activities and youth opportunities.

Honor Code (to be read and acknowledged by EYA)
I read and agree with the Honor Code.

Password *

Confirm Password *