Step 1 – REGISTER

General Information

Please include at least one phone number where we can reach you during business hours and an email address that you check frequently. Your information will be kept confidential.

First Name: *
Last Name: *
Street:
City: *
Zip/Postal Code:
Phone:
Email: *
Gender: *
T-Shirt Size: *
18 years of age or olderUnder 18 and my age will be:


How did you hear about us?*

Emergency Contact

We will attempt to contact the following person in the event of a personal emergency.

First Name: *
Last Name: *
Relationship: *
Phone: *
Phone 2:

Physical Capabilities or Limitations

Do you have any physical limitations (difficulty standing, lifting, hearing, etc.) that might affect your ability to volunteer? If so, please describe briefly.

Waiver and Release of Liability

In consideration of being allowed to volunteer my services at the EarthDay@Loudoun Family Festival, I hereby acknowledge that there are certain risks of injury involved, and I knowingly and freely assume all such risks and assume full responsibility for my participation.

BY CHECKING THE FOLLOWING "I AGREE" BOX, I UNDERSTAND THAT I AM INDICATING MY AGREEMENT WITH THE TERMS.

I Agree

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Step 2 – YOU CHOOSE

After completing the above form,  go to Sign-Up Genius form where you can select the time(s) and task(s).