Buddy Form

Name*

First Middle Last

Birthday

Address*

Address Line 2 City State ZIP Code

Email*

Phone*

School / Occupation*

Emergency Contact Name*

First Last

Emergency Contact Phone*

Tell us a little bit about yourself.*

When would you like to begin volunteering at Rise Up Cafe?*

What days would you be available? You may select more than one.*

What time of day works best for you? You may select more than one.*

Date

I agree to the terms set forth in the Rise Up Cafe Volunteer Agreement as outlined in the below attachment.

Read Volunteer Agreement and check box to confirm.