Short Term Volunteer Registration Form

Short Term Registration Form
Name

First NameLast Name
Email
example@example.com
Phone
Please enter a valid phone number.Format: (000) 000-0000.
Preferred method of contact*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Emergency Contact
Name

First NameLast Name
Relationship
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Activity Details
Date/Time
Can be a specific date/time or a general idea (ie: Mondays from 3-4pm)
Type of Activity
ie Fundraiser, help at shelter, read to shelter dogs
Is this for a specific badge or project
Is this for a specific badge or project
If yes, please provide the details including how many hours are required and what types of activities need to be done.
If Under 18
Parent or Guardian

First NameLast Name
Parent or Guardian Email
example@example.com
Parent or Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Waiver
Download waiver here and upload the completed document before submitting this form.
File Upload

Cancelof
Dates and times will be confirmed via email.
Should be Empty:

Short Term Registration Form