Sandbag Volunteer Check-Out Form
Name
*
First Name
Last Name
Birthdate
*
-
Month
-
Day
Year
This is required for federal funding assistance through FEMA
What time approximately did you all arrive?
*
Hour Minutes
AM
PM
AM/PM Option
What time are you leaving?
*
Hour Minutes
AM
PM
AM/PM Option
Do want to check multiple people out?
*
Yes
No
How Many People Are With You?
*
Please Select
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Please type the names & birthdates of those that are with you - birthdates are required for federal funding assistance through FEMA
*
Working Location
*
Please Select
Canyon View Park
Fairgrounds
Golf Course
Neighborhood Along River
Sports Park
Wasatch Pallet
Other
Submit
Should be Empty: