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2. Name*
4. 1. Adult
   2. Under 18 (Parent Signature Required)
6. If under 18, age:
7. If under 18, grade:
9. Street Address*
10. Address Line 2
12. City*
13. State*
14. Zip Code*
16. Phone
17. Email
19. Contact me by:*

    (Check all that apply)

    1. Email
    2. Text
    3. Phone Call
21. Accommodations (Medical Conditions, Disabilities, etc.):
23. Emergency Contact Name*
25. Emergency Contact Phone*
26. Emergency Contact Relationship*
30. Employer, School & Volunteer Experience
32. Employer and/or School

    Indicate if retired and list former employer.

34. Job Title / Skills or School Interests
36. Volunteer Experience
40. Volunteer Areas of Interest

    Please check all areas that interest you! For descriptions of positions please contact Manager Shelton.

42. Park Maintenance

    1. Adopt-a-Park (for a group or business)
    2. Graffiti Removal
    3. Grounds Maintenance/Work Parties
    4. North Mountain Park Nature Play
44. Community Events

    1. Bear Creek Salmon Festival
    2. Rogue Valley Bike Swap
    3. Other Events as needed
46. Administrative

    1. Office Assistant
    2. Project Assistant
    3. Data Entry
48. Education

    1. Birding/Monitoring
    2. Community Program Instructor
    3. Youth Outdoor Education Class Assistant
    4. Youth Outdoor Education Instructor
50. Gardening

    1. Adopt-a-Garden
    2. Drop-in Gardener
    3. Japanese Garden
52. Recreation Programs

    1. Bike Maintenance
    2. David's Chair Host
    3. Ice Rink Host
    4. Lithia Park Guide
54. Senior Services Division

    1. Event Assistant
    2. Instructor
    3. Office Assistant
    4. Project Assistant
    5. Senior Computer Tutor
    6. Check if you want to know about other volunteer opportunities through partner agencies onsite at the Senior Center
56. Students

    1. High School Project
    2. College Project
    3. Eagle Scout Project

58. Thank you for interest in volunteering for Ashland Parks and Recreation Department. Upon completion of this application you will be redirected to a "Thank You" page and will be contacted shortly.

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60. 1. Receive an email copy of this form.
61. Email address

    This field is not part of the form submission.

62. Submit

* indicates a required field