Application Type*

Individual

Group

Name of Volunteer

First Last

U.S Citizen or Permanent Resident*

Yes

No

List Visa Type

Name of Group

Name of Group Contact

First Last

Address

Street Address Address Line 2 City State ZIP Code

Email Address

Home Phone

Mobile Phone

Age*

PARENTAL CONSENT FOR VOLUNTEER UNDER AGE 18

Parent or Legal Guardian

First Last

Parent or Legal Guardian Home Phone

Parent or Legal Guardian Mobile

Parent or Legal Guardian Email

Parent or Legal Guardian Address

Street Address Address Line 2 City State

Parent or Legal Guardian Affirmation

I affirm that I am the parent/guardian of the above named volunteer. I understand that the OPAL Foundation volunteer program does not provide compensation, except as otherwise provided by law; and that the service will not confer on the volunteer the status of a Federal employee.

I affirm

I do NOT affirm

Parent or Legal Guardian Permission

I give my permission for the above mentioned volunteer to participate in the specified volunteer activity.

Yes

No

Parent/Guardian Agreement

My full name listed below represents my legal parental consent.

Parent/Guardian Signature

Date of Parent/Guardian Signature

Volunteer Agreement

I do hereby volunteer my services to assist in authorized activities performed at OPAL Foundation volunteer job sites and I agree to follow all applicable safety guidelines. My full name listed below represents my legal consent.

Volunteer Signature*

Agreement Date*

Volunteer Service Agreement for Opal Foundation

Ethnicity & Race

EMERGENCY CONTACT INFORMATION

PARENTAL CONSENT FOR VOLUNTEER UNDER AGE 18

Parent/Guardian Agreement

Volunteer Agreement