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Community Volunteer Registry Form

  1. As it appears on State ID

  2. As it appears on State ID

  3. Phone Type*

  4. I am interested in volunteering for (Please check all that apply):

  5. Senior Citizens

  6. Community

  7. Youth/Family

  8. Community Organization

  9. I agree that the Garden City Department of Community Resources may conduct a conviction-only criminal check on me. I hereby consent to this search being conducted and to the disclosure of the results of the search to the Department. I understand and acknowledge that criminal convictions may result in disqualification from the Volunteer Registry. I also authorize the Department to release my contact information to organizations matching my interests.

  10. By electronically signing this form you agree to the above statement.

  11. Leave This Blank:

  12. This field is not part of the form submission.