Hooper Volunteer Information Form and Waiver of Liability

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All volunteers must complete this form one time each school year. Please complete all required fields. (This information is for the school use only and is not shared with other organizations.)

Email *

Last Name *

First Name *

Phone Number *

Street Address *

City, State and Zip Code *

Personal Physician

Personal Physician's Phone Number

Emergency Adult Contact *

Emergency Adult Contact's Phone Number *

Are you now or have you ever been a school volunteer? *

If you have been a school volunteer, at which school did you volunteer?

If you have been a school volunteer, in what school year(s) did you volunteer?

Name(s) of any child(ren) attending this school: *

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