1. Please provide your name and email address and indicate if you would like to subscribe to any of our email newsletters *
2. Please provide your address *
3. Please provide your phone number *
4. Please select any skills or interests you have:
5. Please indicate if you can speak a language other than English:
6. Please indicate which days you are available to volunteer:
7. Do you have any physical limitations that would impact your ability to volunteer?
8. Do you have any allergies or medications that emergency personnel should be made aware of?
9. Are you able to lift more than 25 pounds? *
10.
I agree to the following rules while working at Tracy Interfaith Ministries:
11. Do you need to track your community service hours? *
If yes, please list how many hours you need:
12. Please list an emergency contact name and phone number *
13. I agree that I am responsible for any child 18 and under. I am responsible for their medical care and will not hold Tracy Interfaith Ministries liable for any injury or damage while volunteering or completing community service hours at this site. *
14. Are you under the age of 14? *
If yes, please sign that you understand that children under the age of 14 must be accompanied by an adult at all times.
15. Please sign your name. My signature verifies that I will hold Tracy Interfaith Ministries and its officers and staff harmless from and against any and all liability for any injury which may be suffered by me or my dependents arising out of or in anyway connected with participation in the volunteer/community service program. *