Volunteer Information Form

PDF Version

Name:
Address:
City :	State: Zip:
Phone#:
Email:
Work Address:
City:	State: Zip:
If student, name of school: City :
How did you learn about Lift Me Up!: Please Choose One A Friend School Program News Article Web Site
Times I am available: Please Choose One Weekday Morning Weekday Afternoon Saturday Morning Saturday Afternoon

Please check the areas you are interested in :
Program Volunteer	Competition	Administration
Leading a horse	Horse Show	Public Relations
Sidewalking with a student	Away Horse Shows	Fund Raising
Stable Management	Ride-A-Thon	Newsletter
	Special Olympics	Volunteer Recruitment
		Photography/Video