Volunteer Form

Your name

Address

State

Zip

Phone

Your email

Employer

Any special talents or skills you have that you feel would benefit our organization ?

Please tell us in which areas you are interested in volunteering
AdministrationEventsProgramFundraisingDeliveriesCommunication/Media

Availability
MonTuesWedThurFriSatSun

Available times: From

to

Any Physical Limitations ?

In case of emergency contact

As a volunteer of our organization, I agree to abide by the policies and procedures. I understand
that I will be volunteering at my own risk and that the organization, its employees, and affiliates,
cannot assume any responsibility for any liability for any accident, injury or health problem which
may arise from any volunteer work I perform for the organization. I agree that all the work I do is
on a volunteer basis, and I am not eligible to receive any monetary payment or reward.

Signature (Sign your full Name)

Date