Disaster Relief – Serve the City South Jersey

Name*

First Last

Address*

Street Address City State ZIP Code

Phone*

Email*

Language skills*

English
French
Spanish
Other

Other languages

If you speak other languages, please indicate them here

Are you over 18 years of age?*

Yes
No

Name of Parent/Accompanying Adult*

First Last

As you are under 18, you must be accompanied by an adult OR have a signed waiver to participate. If an adult is accompanying you, please have them complete a registration form also.

Parent/Accompanying Adult email*

Relationship with the accompanying adult*

Parent, guardian, teacher, ...

Project Preferences*

Outdoor (Trail / park / gazebo clean-up)
Elderly (Art, games, etc)
Foster Families

We will match volunteers to projects and give you your project at registration. It helps us to know if you have any preferences. We will do our best to accommodate them.

Please, let us know if you have any preferences or physical work reservations regarding projects:

Are you volunteering as part of an organization, church, school?*

Yes
No

Please give us its name*

Volunteering with friends, family, or children?

If yes, please specify their name(s) so we can match you together. As space is limited, please make sure each person listed completes their own registration. Thanks!

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Event

Data Protection Policy*

I have read and agree to the Data Protection Policy and authorise Serve the City to store my information securely.

Registration Form template