Name:

Email:

Address:

City:

State:

Zip:

DL Number:

State Issued:

DOB:

Emergency Contact Name:

Emergency Contact Phone:

T-Shirt Size: Please Check BelowSmallMediumLargeXlargeXXlarge

Can you do minor lifting? (20 - 50 lbs.)YesNo

Are you able to stand on your feet for two hours?YesNo

Have you ever been convicted of a felony or misdemeanor? (All volunteers are subject to a background check)*

Area of Interest: Check all that apply
InformationSurveysCompetitive ExhibitsLittle FarmFloatersLivestock & ArenaBeer Garden (must be 21)

Are you available before or after the fair for set up and clean up?

Volunteer Signature:

Date

Signature of Parent/Guardian: if volunteer is under the age of 18

Date