test form forminator First and last name to appear on your badge *Your email address *Street address *City *Zip *PLEASE INDICATE YOUR PREFERRED METHOD OF CONTACT:CellHome PhoneEmailHome Phone number: *Cell Phone number: (optional)Date of Birth: *Local emergency contact (name and phone): *Driver License number: *Driver license State: *Driver license expire date: *Automobile Liability Insurance Company: *Expires: *Select the days that you are available for a PERMANENT ROUTE when one becomes available:MondayTuesdayWednesdayThursdayFridaySaturdaySundaySelect Category for the volunteer days:DriverRunnerSubstitute Team LeaderSelect the days that you are available to volunteer as a SUBSTITUTE:MondayTuesdayWednesdayThursdayFridaySaturdaySundayThere are other volunteer opportunities available, such as Team Leader, Interviewer and Board member. If you are interested, please ask you Day Chair to tell the office to have someone get in contact with you.If you are a SNOWBIRD, list the approximate dates you will be unavailable, example 5/1 - 9/1:DisclaimerI am aware that while volunteering with Sun City Meals on Wheels, I hereby agree that I assume sole responsibility for my own safety and will hold neither the Sun City Meals on Wheels, Inc. nor any individual member liable in any way or under any condition for any accident resulting in injury to myself or damage to any of my property.I understand that if I deliberately ignore the rules of the volunteer position I will be asked to resign.Today's date *Submit