Volunteer Application

2. First Name*
3. Last Name*
5. Address1*
7. Address2
9. City*
10. State*
11. Zip*
13. Check, if applicable.

    1. I am 18 years of age or older.
14. Birthday*
    Birthday

    Date

16. Phone Number*

    Please enter a valid phone number.

17. Email*

    example@example.com

19. What volunteer opportunities interest you?

    1. Administrative
    2. Bass Lake Programs
    3. Beautification Ambassador
    4. Day of Service

    1. Dog Day Ambassador
    2. Farmers Market
    3. Special Event
    4. Youth Athletics Coach
23. Parent/Legal Guardian Information (if applicant is under 18)
25. Parent/Legal Guardian First Name
26. Parent Legal/Guardian Last Name
28. Parent/Legal Guardian Phone Number

    Please enter a valid phone number

29. Parent/Legal Guardian Email

    example@example.com

33. Emergency Contact
35. First Name*
36. Last Name*
38. Emergency Contact Phone Number*

    Please enter a valid phone number.

39. Relationship*
Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field