Volunteer Signup -- Young Family Farm Build Day

Your Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number*

Have you volunteered for us before and filled out this form?

Yes, I have volunteered before and filled out this form.Yes, I have volunteered before but have not filled out this form.No, I have not volunteered before or filled out this form.

Will you need accommodations in order to perform manual labor & gardening tasks (shoveling, walking, lifting, squatting, etc.)?*

YesNo

Please describe what type of accommodations you may need.*

Emergency Contacts*

Birth Date*

Date

How did you find out about us?*

Which build day shift are you interested in volunteering for?

Which build day shift(s) are you interested in volunteering for? (Please select all desired options)*

Friday, April 4th at 9am-11amSaturday, April 5th from 9am-12pmSaturday, April 12th from 9am-12pmSaturday, April 19th (Earth Day Weekend) from 9am-12pm

Are you interested in volunteering on a reoccurring basis?*

No, I'm not interested in volunteering on a reoccurring basis.Yes, I am interested in both volunteer day and reoccurring volunteering.

If you're interested in reoccurring volunteering, please indicate days/times you'd be available.*

	From	To
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Other

Why do you want to volunteer with us?*

Please share any gardening experience you have acquired, if any.*

COVID-19 Screening & Volunteer Safety I hereby acknowledge that the information I am about to provide is accurate to the best of my ability. If circumstances change regarding my health after the completion of this form and prior to volunteering, I will inform Young Family Farm and cancel my volunteer slot.

Have you tested positive for COVID-19 within the last 14 days, or been exposed to someone who has tested positive within the last 14 days?*

Yes, I have.No, I have not.

Unfortunately, volunteering with us can't happen at this time. Please reach out to us in the future for other opportunities!

Are you currently experiencing common symptoms (fever/chills, cough, body aches, shortness of breath, etc.) of COVID-19 or any other easily transmittable illness?*

Yes, I am.No, I am not.

Have you traveled outside of the region within the last 14 days?*

Yes, I have.No, I have not.

Although we will be outside working, the safety of our staff and volunteers is of the utmost importance. As such, we want to ensure the volunteers in attendance are symptom-free and vaccinated for COVID-19. Will this be an issue for you?*

No, this will not be an issue for me.Yes, this will be an issue for me.

Photographic & Volunteer Release By completing this form, I hereby acknowledge that the information given above is accurate and I give permission to the community for the use of my photographs that are taken by staff in order to use for social media.

Volunteer Signup Sheet