Volunteer Form Date MM slash DD slash YYYY Name First Last Address Street Address City State ZIP PhoneEmail Reason for Volunteering Number of Hours Desired Which days of the week can you work? Are you enrolled in school? Yes No Grade in School Do you have any physical limitations we should consider in a job assignment? If so, please explain. Emergency ContactName First Last Relationship Phone (if different from above)Physician InformationDoctor Name and Phone Hospital Parental approval is required for volunteers who are under 18 years old. I give my approval for the person named at the top to be involved in Encore Thrift Store.Parent/Guardian Signature Reset signature Signature locked. Reset to sign again Date MM slash DD slash YYYY
