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Your information


Required fields are marked with an asterisk (*).
First name *
Last name *
Birthday *

A valid date as MM/DD/YYYY (for example: 11/30/2015)
Driver's License/Identification Number *
Issuing State (For driver’s license or ID card) *
Mobile Phone Number *

For example, 123-456-7890
SMS (text) messaging:
You may opt-in to receive SMS (text) for KIDS Center volunteer activities, including shift reminders and cancellations.

To opt-out, reply STOP to any SMS message OR update the SMS opt-in setting in your profile.
Street Address *
City *
State *
Zip Code *
Emergency Contact Name *
Emergency Contact Number *
Organization (group sign-ups)
Interests






Availability









Questions or Comments

Disclaimer

Volunteer Release and Agreement

I certify that all the information that I provided is true and complete to the best of my knowledge. I certify that I have not and will not withhold any information that would unfavorably affect my application for a volunteer position. I understand that information I have submitted will be verified by KIDS Center and that misrepresentation or omissions may be cause for immediate rejection of my application for termination of my position as a volunteer. I grant KIDS Center permission to complete a background/criminal history check and understand that my ability to volunteer is contingent upon information obtained. My acceptance of this release will be marked by my signature below.