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Volunteer Golden COVID 19 Relief
Please give us your information and availability
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Email
*
Your email
Name
*
Your answer
Address (Number and Street)
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Your answer
Address (City, State, Zip Code)
*
Your answer
Phone Number
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Your answer
Date of Birth
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MM
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DD
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YYYY
What times are you available to volunteer?
Please select all that apply
Morning
Midday
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning
Midday
Afternoon
Evening
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Do you have your own transportation, proof of auto insurance, and a valid drivers license. (will be required to provide deliveries)
*
Yes
No
Please fill in the following if applicable
State and Driver's License Number
Your answer
Please fill in the following if applicable
Auto Insurance Carrier
Your answer
Please fill in the following if applicable
Auto Insurance Policy Number
Your answer
Areas I am willing to volunteer
Food Pantry Assistance
Passing out Food at Pick-up Locations
Delivering Food to those quarantined or at risk
Administrative Help
Outside of Golden in other communities Such as (Lakewood, Arvada, etc.)
Other:
I have read and agree with the attached below Health and Safety policy
*
Yes
No
Health and Safety Policy Page #1
Health and Safety Policy Page #2
Health and Safety Policy Page #3
I have read and agree with the attached below Liability Waiver.
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Yes
No
Liability Waiver Page #1
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