Volunteer Application

Form A – Volunteer Registration, Disclosure & Waiver

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Full Legal Name

Address

Street Address City State / Province / Region ZIP / Postal Code

Email Address*

Phone Number

Special Skills / Certifications / Relevant Experience

Reason for Volunteering

Untitled*

I have read and agree to the Volunteer Waiver & Release of Liability

Minor's Full Name

Parent / Guardian Name

Parent / Guardian Phone

Untitled*

I consent to my child/ward participating and agree to the waiver on their behalf

Signature (Volunteer or Parent/Guardian)

Date

Confidential Volunteer Records • Retained and destroyed in accordance with Foundation policy

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