Juvenile Volunteer Form

Date *

First Name *

Last Name *

Street Address *

City *

Phone Number *

Email *

Please specify area of interest: * Youth Volunteer Drop-In (2nd Wednesday/month, after school, program prep, light cleaning, organizing) Special Events/Clubs (after school, evenings, weekends)

Do you require volunteer hours for school/church? * Yes No

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Phone Number *

Parent/Guardian Email *

In accepting the terms of agreement, I give permission for my child to volunteer at the Beaumont Library. Pictures of my child may be used for promotional purposes by the library. * Yes No