* indicates required field

Volunteers under 18 years must obtain a parent/guardian consent.
(You must be at least age 12 to volunteer)

For each day, indicate times you are available to complete a two or three hour shift:

Please Provide a Personal or Professional Reference.
IN CASE OF EMERGENCY, NOTIFY

Note: A conviction will not necessarily be a bar to volunteering.  This information will be used only for volunteer-related purposes and only to the extent permitted by applicable law.

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