Volunteer General Information Form - Lift Disability Network

Event I want to volunteer for: *

General

Cornhole Tournament

Elevate Adult Day Program

Family Gathering First Orlando

Family Gathering Lakeland

Family Gathering Winter Garden/Ocoee

Lake Day

Monster Mash Lakeland

Monster Mash Orlando

Outdoor Christmas Movie First Orlando

Outdoor Christmas Movie WG/Ocoee

Breakaway 26 Day Volunteer

Breakaway 26 Crew

Phone number *

Address

EMERGENCY CONTACT INFORMATION

Emergency Contact Name *

First and Last Name

Relationship *

Emergency Contact Phone *

Birthdate *

Gender

Social Security Number *

Used to conduct a criminal background check in accordance with current standards concerning volunteers.

Please list previous volunteer experience: What type of volunteering, With whom did you volunteer, your volunteer responsibilities in the past?

Medical note