ROTARY DISTRICT 5000 YOUTH PROGRAMS
VOLUNTEER AFFIDAVIT
 
Rotary International District 5000 (“District 5000”) is committed to creating and maintaining the safest possible environment for all participants in Rotary activities. Without limiting the foregoing, it is the duty of all Rotarians, Rotarians’ spouses, partners and other volunteers to safeguard to the best of their ability the welfare of and to prevent the physical, sexual, or emotional abuse of children and young people with whom they come into contact.
 
Our Policy Manual states that all volunteers who participate in Rotary youth programs submit this completed affidavit to the Youth Service District Chair and a confidential background check be processed.  The fee for this background check is $10.50. 
 
Complete the Volunteer Affidavit form and send it to the Youth Service Chair, Joanne Laird.  AFFIDAVIT FORM
Please remit the background check fee of $10.50 by credit card or by check payable to Rotary D5000 (send to Joanne).
 
To pay by credit card, click on this link:  CREDIT CARD PAYMENT 
 
SEND COMPLETED AFFIDAVIT TO:
Joanne Laird
D5000 Youth Services Chair
by email:   mamalrd01@gmail.com