Special Event Volunteer Application

Please correct the field(s) marked in red below:

The City of Victorville Recreation Division has several special events throughout the year that have opportunities for Community members and Organizations to Volunteer and get involved. If you or your child age 12-17 would like to become a Volunteer at an upcoming event, please complete the survey below and submit your application. Forms must be submitted by a parent or guardian for child volunteers. Thank you for your interest in supporting City programs.
1
Your Name
 *
2
Volunteer Name (if different than the person submitting this form)
3
Age of the Volunteer
 *
Age of the Volunteer
4

Address, City, State, and Zip

 *
5
Contact Phone Number
 *
6
Email Address
 *
7
Emergency Contact Name
 *
8
Emergency Contact Phone Number
 *
9
Which event would you like to Volunteer for?
 *
Which event would you like to Volunteer for?
10
Will you be volunteering as an individual or as the leader of a group of people?
 *
Will you be volunteering as an individual or as the leader of a group of people?
11
If you are volunteering as a group, please include the organization name, the number of individuals who will be volunteering, and their general age group.
12
Special Skills, Talents, and Languages (if any)
13
Previous Volunteer experience (if any)
14

For Parent of minor child:

CONSENT AND RELEASE ON BEHALF OF MINOR
I am the parent and/or legal guardian of the above-named minor.  I have read and understand the agreement involves surrender of valuable legal rights of the minor and myself.  I agree to be bound by all terms of this agreement.  I also give consent to the participant in the activity of the minor.

15

I have carefully read the Activity Waiver linked below, and fully understand its contents. I am aware that this is a Release of Liability and a Contract between myself and CSD and/or City and sign it on my own free will.

Recreation Activity Liability Waiver

 *
  1. To receive a copy of your submission, please fill out your email address below and submit.