ROCK Wellness Weekend 2026 Volunteer Registration

ROCK Wellness Weekend Volunteer Sign-up | February 2026

Thank you for your interest in volunteering for ROCK Wellness Weekend. Please complete this form to help us plan coverage and assignments. Volunteer roles, schedules, and assignments will be shared closer to the event. All volunteers are required to attend one of two virtual logistics meetings prior to the event. A recording and written summary will be made available for those unable to attend live. Final schedules and assignments are subject to change based on event needs. For questions, contact Jamie Nicole at info@aipbipoc.org
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number. Used for important event-related communication if needed.Format: (000) 000-0000.
Emergency Contact Name

First NameLast Name
Relationship
Emergency Contact Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState

Zip Code
Age Range
Race/Ethnicity - Check all that apply

Other
Gender Identity

Other
Self-describe gender identity if applicable
Do you identify as transgender?
Have you volunteered with ROCK the Block before? If so, what year(s)? Check all that apply.
Do you have other volunteer experience?
Relevant Skills or Notes (Optional)
If you are representing a group or organization, please let us know below the name of the specific organization/group. If none, put N/A.
i.e. Church Without Walls, Sorority Name, School, etc.
Which day(s) are you available to volunteer?
Volunteer Role Interest
Preferred Shift
Should be Empty:

ROCK Wellness Weekend Volunteer Sign-up | February 2026