Planning District 16 Juneteenth Celebration - Volunteer Registration

Planning District 16 Juneteenth Celebration - Volunteer Registration - WE NEED YOU!

Fill out one form per volunteer.
Volunteer Type

Over 18 yrs old - filling out for myselfParent/Guardian - filling out for someone 13-17 yrs old

Volunteer Name*

First NameLast Name
Organizational Affiliation
Email*
example@example.com
Primary Phone Number*

Area CodePhone Number
T-Shirt Size*
UNISEX ADULT SIZES

Under 18 Years Old - Volunteer Section
Is the volunteer 17 years old or younger?

YesNo
If you answered, "Yes" above, enter their birthday below
Are you an adult that's filling this out for someone that's 17 years old or younger?

YesNo
If you answered, "Yes" above, enter your name and phone number below

First NameLast Name
Adult's Phone Number

Area CodePhone Number
Please select the age group of the volunteer this section is being filled out for

Emergency Contact During Event
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*

Area CodePhone Number
Emergency Contact Relation*
Ex: Spouse, Parent, Grandparent, etc.

Should be Empty: