Volunteer Form for CVIC

Basic Information

Full Name:

Age

Contact Information

Email Address:

Phone Number

Address:

Parent/Guardian Information:

Parent/Guardian Name:

Relationship to Volunteer:

Parent/Guardian Phone Number:

Parent/Guardian Email Address:

Volunteer Hours

Do you need volunteer hours?

Number of Hours Needed:

School Name:

Emergency Contact Information

Emergency Contact Name:

Emergency Contact Phone Number:

Relationship to Volunteer:

Volunteer Availability

Preferred Volunteer Times:

Health & Safety Information

Medical Conditions/Allergies:

Emergency Medical Information:

Any Special Accommodations Needed:

Additional Notes

Comments or Questions:

Agreement & Consent

I agree that I am the legal guardian of the volunteer listed above and consent to their participation in volunteer activities.

Signature

Volunteer WhatsApp Group

Would you like to be added to the Volunteer WhatsApp group?

Name

Phone/Mobile

Agreement & Consent

I agree to be added in the WhatsApp group.

Support Your New Masjid

6909 Liberty Rd, SOLON OH 44139 USA

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