High School Community Service Form

High School Community Service Form
Thank you for your interest in participating in community service. Please fill out the form below to register for community service activities.
Full Name
First NameLast Name
Grade Level
Student ID
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Name
First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name
First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Community Service Activity
Please select the community service activity you are interested in participating in.
Activity Name
Description of Activity
Activity Date
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Activity Time
Supervisor Name
First NameLast Name
Supervisor Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Supervisor Email Address
example@example.com
Parent/Guardian Consent
Should be Empty: