Volunteer Application
By completing this form, you will be added to the Childhood Cancer Foundation of Southern California, Inc. mailing and e-mail list to receive volunteer event information and announcements. Your information will not be shared with any other organization. Federal and/or State law prohibits discrimination on the basis of age*, sex, race, color, religion, national origin, marital status, or physical or mental handicap. The information acquired will only be used to better know our volunteers.

*Due to requirements placed by our medical advisors, we require that all volunteers be at least 14 years old.

First Name:
Your answer
Last Name:
Your answer
Birthdate
MM / DD / YYYY
Your answer
Phone / Cell Number:
( XXX ) XXX - XXXX
Your answer
Email:
Your answer
Are you 14 years old or older?
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