Teen Maze Volunteer Form

Do you have any medical conditions that will restrict you from standing or walking for long periods of time? Do you have any allergies or other conditions we should be aware of while you are volunteering with us? Please list below. Otherwise enter NONE.

Best Day Time Phone # *

Name of EMERGENCY CONTACT *

Choose a time to volunteer Friday *

Choose a time to volunteer Thursday *

Choose a time to volunteer Wednesday *

Please check which of the setup, practice, and teardown you will volunteer. *

setup, Tuesday, March 8, 2016, 8AM - 1pm

PRACTICE RUN, March 8, 2016, 2pm - 4pm

teardown, Friday, March 11, 2016, 2:00pm - 6:00pm

I will not be volunteering during these time.

Lunch is provided each day. Please let us know if you will be eating lunch. *

YES

No

Agency or Organization (if you are not volunteering with one enter NONE): *

Name: *

Email: *

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Phone # of Emergency Contact *

Comments/Questions:

"One in three of us are impacted by drunk driving."