Volunteer

Volunteer's Name*

First Last

Volunteer's Email

Volunteer's Cell Phone No.

Volunteer's Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Age*

Availability*

Please check all days you are available. You will select times in the next section.

Availability*

Please check all time frames you are available.

Parent/Guardian's Name (Required if under age 18)

First Last

Relationship to Volunteer

Emergency Contact Name*

First Last

Emergency Contact Phone*

Relationship to Volunteer*

Photo/Video Consent (Optional)

I hereby consent to the use of my name, voice, image, and likeness to be used by the Hendrick Hudson Free Library (“HHFL”) by a library staff member or appointed designee.

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