COMMITTEE ONLY Volunteer Assignment: Volunteer Number

:

2010 Volunteer Registration
Contact Information (Required fields. Please fill out completely)

Staff Initials:

For organization, please indicate the contact person and the number of volunteers your organization will commit. If possible, please include contact information for each volunteer.
Name Street Address City ST ZIP Code Home Phone E-Mail Address Organization Name Number of Volunteers Cell Phone

Under 18?

Yes – Date of Birth___________

No

Interests: Tell us in which areas you are interested in volunteering. Hospitality Clean-up Judges Area Senior Tent Staging Entry Check-in No Preference Traffic Parade Marshall

Person to Notify in Case of Emergency
Name Street Address City ST ZIP Code Home Phone E-Mail Address Cell Phone

Agreement and Signature By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.
Name (printed) Signature Date
Signature of Parent / Guardian

Our Policy It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Thank you for completing this application form and for your interest in volunteering for the parade! Please e-mail, fax or mail this application to before June 1st: info@4thofjuly.org | 936-273-4995 | PO Box 7266, The Woodlands, TX 77387