Volunteer Recertification

Our liability insurance requires that all volunteers provide this information every year. Your Contact Information
Your First Name * Enter your first name
Your Last Name * Enter your Last Name
Your Email Address * Use format: user@domain.com
Your Mobile Phone Number *
Driver's License Please upload a copy of your driver's license, even if you provided it last year.
Drivers License *
Automobile Insurance Please upload a copy of your current automobile insurance card showing your insurance limits,even if you provided it last year.
Automobile Insurance *
Signature By submitting I am verifying this information belongs to me and is current as of the date submitted. If you are using a phone or tablet to complete this application, simply sign your name below. If you are using a computer, use your mouse to write your name below.
Signature * Sign here.
Today's Date * Enter today's date.
Click submit once. It may take up to 30 seconds for the screen to change. Do not click submit more than once.

Your Contact Information