Full Name:____________________________________________

Address:______________________________________________

City:  ______________________State_____Zip ______________

Phone: ___________e-mail (if applicable): ___________________

Birth date:__________________________ Grade: _____________

School attending: ___________________________

Time available: (day of week and time) ________________________

_______________________________________________________

Summer time ____________________________________________

In case of emergency who should we contact:

Name: __________________________________________________

Relationship: _____________________________________________

Phone: __________________________________________________
 

Is this for community service, service learning, or just for the spirit of it! Explain.

_______________________________________________________________

What would you like to volunteer for? Circle the areas of interest. 

Summer Classes  (list classes, go to class schedule from home page)

__________________________________________________

Tule Ponds at Tyson Lagoon  (check schedule from home page) and just come to 1999 Walnut Ave, behind the Fremont BART Station.

Docent at Math Science Nucleus Museum (need to attend a docent training, call for more information)