Volunteer Name*

Volunteer Email Address*

Volunteer Phone Number*

Preferred Means of Contact? Phone Call/Email/Text?*

If you are under 18, by submission of this form you acknowledge that you have parental permission to participate and understand that Hearts for Summerville, it's Board members, volunteers and families are not liable for any injury, illness or damage sustained during volunteer activities. Please answer yes/no*

Are you willing to drive your personal vehicle? Must be 18 and over to drive.*

I am interested in the following volunteer activities*

I am volunteering because. . . . .*

I understand that Hearts for Summerville is a volunteer organization and is not liable for any illness, injury or damage that occurs while volunteering. I understand that I must be 14 years of age to volunteer without a parent and I do have parental consent to volunteer. I further authorize Hearts for Summerville to utilize my name and photo for social media and print marketing opportunities. Yes or No.*

Emergency Contact Name and phone number*

Are any additional family members volunteering with you? Please list names and ages if minor children.*