Volunteer Form

Volunteer Type

First Name

Last Name

Email - If Student Provide Parent/Guardian Email

Phone - If Student Provide Parent/Guardian Phone

School Attending

Grade Level

Emergency Contact Name and Phone Number

Any Food Allergies (Or Not Applicable)

What size T-shirt do you wear?

Are you a PTA/PTSA member?

If a PTA/PTSA member, are you an officer?

If PTA/PTSA officer, what is your title?

Student Volunteer First Choice

Student Volunteer Second Choice

Student Volunteer Third Choice

Adult Volunteer First Choice

Adult Volunteer Second Choice

Adult Volunteer Third Choice

We will interview students, facilitators, and volunteers, chronicle successes, and make a video of the summit. Parents of minors, do we have parental permission to videotape or photograph your student? Answers will be verified with a parent.