Volunteer Registration Form

Thanks for your interest in R.O.C.K.! Please fill out this form and someone will reach out to you soon.

* First Name:
Middle Name:
* Last Name:
Suffix:
* Email:
* Phone:
Birth Date(MM/DD/YYYY): / /
Company:
Address:
City:
State:
Zip Code: -
Volunteer Activity. If you know what program you would like to help out with, let us know. Event
Skill Drills
Middle School SALT
High School SALT
School-Based
Summer
Special Events/Projects
Check this box if you DO NOT give R.O.C.K. permission to feature your picture in promotional or marketing materials about R.O.C.K. Photo Permission Denied
* Emergency Contact Name
* Emergency Contact Phone
* Emergency Contact Relationship
R.O.C.K. Alumni Alumni?
Having full confidence that every precaution will be taken to ensure my safety during my participation as a volunteer in R.O.C.K. programs, by checking this box, I hereby waive all claims against R.O.C.K., R.O.C.K. staff, R.O.C.K. board of directors, and/or R.O.C.K. partnering organizations in the event that an accident or injury should occur. Agreed
    
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