EmailMe Form - Victoria Goddess Run

Name *

Mailing Address:

Phone: *

### - ### - ####

Email *

Date of Birth: *

MM / DD / YYYY

If you are under 16 please provide consent from a parent/guardian:

Parent / Guardian's Phone:

### - ### - ####

Have you had previous volunteer experience? : *

Yes

No

If yes, please give details

Special Skills / Qualifications:

How did you hear about the Victoria Goddess Run

Do you have any medical conditions (e.g severe allergies) of which the volunteer supervisor should be aware? : *

Yes

No

If yes, please give details:

Emergency Contact Name:

Emergency Contact Phone:

### - ### - ####

Emergency Contact Relationship:

T-shirt size: *

S

M

L

XL

Please select your top TWO choices for the pre-event opportunities on May 30 and May 31 and your top THREE choices for race day on June 1. *

Days Available: *

Additional Notes: