Volunteer Application - New Hope for Kids

Date you be able to start volunteering:*
Preference:*
- Days
- Evenings after 5pm
- Weekdays (Mon-Fri)
- Weekends (Sat/Sun)
Please identify any physical/medical or other condition which might affect your ability to participate as a volunteer:
Prescribed Medications (currently used):
I am between the age of 16 to 18*
- Yes
- No
Parent/Guardian Name(s)*
Address (if different)
Street Address City State ZIP Code
Cell Phone*
Other Phone
My child has my permission to participate as a New Hope for Kids Volunteer. I hold harmless and agree not to hold New Hope for Kids, responsible for any accident or illness involving my child. The agreement shall be construed and regulated under and by the laws of the State of Florida.*
I agree
Parent or Legal Guardian Signature*
Date*
MM slash DD slash YYYY