Community Block Party Volunteer Form

Calling All Volunteers

We need you to help make our Community Block Party successful
Perks of volunteering:
- Meet new people and make community connections
- Free BREATHE Midwives T-shirt
- A letter of reference (provided after the event)
- Gain valuable experience
- Support BREATHE Midwives cause and mission
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Phone Number
Format: (000) 000-0000.
Age (must be at least age 14)
For food serving do you have a Food Safety (Food Handler) Certification?
For children activities do you have a vulnerable sector check (VSC)?
How would you like to support the Community Block Party?

Other
Time of day available
Are you available during the week August 17, 2026 to August 21 to help with pre event set up
Do you have any volunteering experience? If yes, please describe.
BREATHE Midwives is a nonprofit organization that provides essential health-care, education, nutrition, and community development programs to those who, due to the harsh circumstances of their lives, have been deprived of the most basic living conditions.

We encourage the participation of volunteers who support our
mission and are willing to contribute. The information provided through this form will be kept confidential and will help us determine the
most satisfying and appropriate volunteer opportunity for you.
Should be Empty:

Calling All Volunteers