Lego Club Assistant Volunteer Application

LEGO Kids Club Assistant Application

Apply to earn volunteer hours by assisting with the LEGO Kids Club at the Central Huntington Beach Public Library on Talbert Avenue. Tasks will consist of suggesting LEGO engineering challenges for kids ages 6 and up to try during each weekly session, supervising kids during the event, cleaning up afterward, and sorting our LEGOs into bins by their color or type. Kids Lego Club is every Tuesday from 3:00pm - 4:30pm, meaning you may earn a maximum of 1.5 hours each time you participate. All spots to participate are first-come, first-served. A link to the Teen Volunteer Calendar will be emailed to you upon completion of this application, which will allow you to register for future Lego Club Assistant Volunteer shifts.
Name*

First NameLast Name
Birthdate*

MonthDayYear
Age*
Must be 13 years or older at the time of application.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone Number
Please enter a valid phone number.
Cell Phone Number*
Please enter a valid phone number.
Email*
Please enter an email address you check frequently! We will primarily communicate with volunteers via email.
Do you have any health limitations or restrictions staff should be aware of?
If the above does not apply to you, leave blank.
Emergency Contact Information
Emergency Contact Name*

First NameLast Name
Emergency Contact Relationship to Volunteer*
Ex: Mother, Father, Grandmother, Grandfather, etc.
Emergency Contact Phone Number*
Please enter a valid phone number.
Emergency Contact Email*
example@example.com
Parental Consent & Waiver of Participant
I,Parent / Legal Guardian's Name*, declare under penalty of perjury under the laws of the State of California that I am the parent or legal guardian of the minor applicant, Teen First Name Teen Last Name. I hereby give permission for my child / ward to participate in the Teen Volunteer Program at the Central Huntington Beach Public Library. I am aware that teen volunteers do many assignments independently and are not often supervised by staff. I do hereby indemnify and hold harmless the City of Huntington Beach, it's employees, volunteers, or agents from any liability for accidents, injuries, or illness that may occur to the applicant from their participation in the Teen Volunteer Program. In the event I cannot be reached in an emergency, I hereby give permission to the emergency medical staff selected to hospitalize and secure proper treatment for my child, and I will assume all medical costs. I hereby give consent to the City of Huntington Beach, its employees, and representatives, to use, publish and republish any and all photographs taken of my child . ward without further compensation. All photographs shall constitute the property of the City.
Parent / Legal Guardian Signature*

Clear
Date*

MonthDayYear
Teen Volunteer Signature*

Clear
Date*

MonthDayYear
Should be Empty:

LEGO Kids Club Assistant Application

Emergency Contact Information

Parental Consent & Waiver of Participant