The Carr Center
Support the Carr Center
Safety Town volunteer form
Age (must be 14 or older)
Will you need a letter of hours for school?
Emergency Contact Name
Emergency Contact Number
Specific Medical Issues:
By signing, I agree to volunteer for The Carr Center Safety Town Program. In the event of an emergency, I give permission for emergency medical care, such as contacting emergency squad, to be initiated on my behalf. Further, I understand The Carr Center will initiate efforts to contact my emergency contact in the event of any emergency
Please indicate the session you would like to volunteer (you may volunteer for more than one session)
June 20 - 24 6-7:30pm Coburn United Methodist Church
June 27 - July 1 6-7:30pm Coburn United Methodist Church
July 11 - 15 6-7:30pm Trinity Lutheran Church
Plan to arrive 15 minutes early. Thank you for your interest in The Carr Center Safety Town. You are requested to commit to one entire week of the program. We are hopeful to schedule you for your selected week, however, if conflicts arise, you will be contacted to rescheduled. Parent volunteers will not be in the same group as their child.
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