Volunteer Registration Form

Full Name*

First NameLast Name

Are you a AGPM Employee?

Are you a CarMax Employee?

Do you Live in one of the following communities? If so, please select your community name.*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Format: (000) 000-0000.

E-mail

example@example.com

CallTextEmail

Yes (Please be aware that we will need parental consent.)No

Description of Volunteer Opportunities

Playground Re-Fresh!

Community Food Support:

Event Support:

After-School Help:

*NOTE* Volunteer placement of an indivdual or group is determined by applicant interest and the number of applicants inquiring to work together.

Food SupportPlayground Re-Fresh!Event SupportAfter-School Help

MorningsAfternoonsEvenings

Provide the earliest date you can start volunteering

Date

Hour minutesAM/PM Option

How did you hear about us?*

Additional information: