Full Name:____________________________________________

Address:______________________________________________

City:  ______________________State_____Zip ______________

Cell Phone: ___________e-mail  ________________________________________

Birth date:__________________________ Grade: _____________

male/female   _____________________________________

School attending: ___________________________

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? Work with little ones?  Docent tours for families?  Docent tours for adults?

__________________________________________________

When  (during summer, afterschool, weekends (Sat or Sun)

What location  (check website if you are not sure of location).

Tule Ponds at Tyson Lagoon
Children's Natural History Museum
Fremont Earthquake Exhibit
California Nursery Historical Park