KidsPlay Children's Museum Volunteer Application

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1. Contact Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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2. Are you currently a student?

Yes

No

If yes, list school:

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3. Are you over 18 years of age?

Yes

No

List highest grade completed:

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4. Emergency Contact

Name

Relationship

Phone Number

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5. Please list the times you are available

	Morning 10:00 am - 1:00 pm	Afternoon 1:00 - 4:00 pm	Evening 4:00 - 8:00 pm
Sunday	Sunday Morning 10:00 am - 1:00 pm	Sunday Afternoon 1:00 - 4:00 pm	Sunday Evening 4:00 - 8:00 pm
Monday	Monday Morning 10:00 am - 1:00 pm	Monday Afternoon 1:00 - 4:00 pm	Monday Evening 4:00 - 8:00 pm
Tuesday	Tuesday Morning 10:00 am - 1:00 pm	Tuesday Afternoon 1:00 - 4:00 pm	Tuesday Evening 4:00 - 8:00 pm
Wednesday	Wednesday Morning 10:00 am - 1:00 pm	Wednesday Afternoon 1:00 - 4:00 pm	Wednesday Evening 4:00 - 8:00 pm
Thursday	Thursday Morning 10:00 am - 1:00 pm	Thursday Afternoon 1:00 - 4:00 pm	Thursday Evening 4:00 - 8:00 pm
Friday	Friday Morning 10:00 am - 1:00 pm	Friday Afternoon 1:00 - 4:00 pm	Friday Evening 4:00 - 8:00 pm
Saturday	Saturday Morning 10:00 am - 1:00 pm	Saturday Afternoon 1:00 - 4:00 pm	Saturday Evening 4:00 - 8:00 pm