Request edit access
MSK Agricultural & STEAM (AgSTEAM) Volunteer/Participant Form

Thank you for your interest in volunteering with My Seniors Keeper Foundation, Inc. (MSK).

MSK hosts volunteer service days on Saturdays from 11:00 AM to 2:00 PM, unless otherwise noted. Volunteers participate in hands-on activities focused on urban agriculture, environmental stewardship, and community-based learning in an outdoor setting.

As part of MSK’s partnership and lease agreement with the DC Department of Parks and Recreation (DPR), all participants are required to complete a visitor waiver prior to engaging in activities at the Applied Research Urban Farm. This form includes that required waiver and must be completed before participation.

Our work is intergenerational. Youth, adults, families, returning citizens, and community members are all welcome. Participants under the age of 18 must be accompanied by a parent or guardian.

This form is intended for individuals joining scheduled volunteer service days at MSK’s Applied Research Urban Farm in Ward 7, Washington, DC.

Completion of this form, including the waiver, is required for all visitors prior to participating in on-site activities.

For group visits, partnerships, or organizational volunteer requests, please contact:

service@mskdc.org

Once your form is submitted, a member of our team will follow up with next steps and participation details.

What to Expect:

  • Outdoor, hands-on activities

  • Team-based service work

  • Learning by doing

  • Opportunities to return and grow with the program

Activities take place outdoors and may be adjusted based on weather conditions.


We look forward to serving alongside you.

Sign in to Google to save your progress. Learn more
Email *
Name *
Date  *
MM
/
DD
/
YYYY
Phone Number *
Emergency Contact: Please provide contact information (Name & Number) of a trusted individual who can be contacted in case of emergencies during volunteer activities. *
Please select any skills or interest you have that you would like to contribute during volunteer activities or in support of other MSK initiatives *
Required
In addition to AgSTEAM, are you interested in supporting supplemental MSK initiatives? *
Required
What are your expectations and goals for volunteering with MSK?
Please review the MSK Terms & Conditions, including the liability waiver, code of conduct, and DPR safety requirments: MSK's Terms & Conditions + DPR Waiver & Photo & Media Release Notice 
 
By selecting "Yes" you confirm that:

You have read and understand the Terms & Conditions

You voluntarily assume all risks associated with participation

You agree to release and hold harmless MSK and DPR from liability

You agree to follow all safety rules and code of conduct

You understand that failure to comply may result in removal from activities


 *
I understand that completion of this waiver is required for participation in activities at MSK's Applied Research Urban Farm. *
Full Name (Digital Signature): Type your name to confirm agreement *
Please add notes here you would like to share with us.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of My Seniors Keeper Foundation.

Does this form look suspicious? Report

Google Forms