People who volunteer to work closely with children (i.e. coaches, tutors, etc.) are subject to a background check.

Please complete a separate form for each volunteer.

Name

Address

City    State    Zip

Phone #

Email Address

Volunteer's Age Category:  12 - 17     18 - 24     25 - 34      35 - 44      45 & older

Particular Area of Interest (if any):


Special Skills or Training (if any):