Volunteer Interest Form

Thank you for your interest in volunteering at The Refuge at Lyric Farm! Complete this form to express your interest and we'll be in touch about opportunities.

Personal Information

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Email Address *

Phone *

Date of Birth *

Pronouns

Emergency Contact

Emergency Contact Name(s)/Relationship To You *

Emergency Contact Number(s) *

About You

Tell us a little bit about yourself and why you would like to volunteer with Lyric Farm *

0/400 characters

How did you hear about Lyric Farm?

0/400 characters

Animal Experience

Do you have any experience with any of the following types of animals?

Other (including wildlife):

If so, what type of experience?

0/400 characters

Volunteer Interests

What types of volunteer opportunities are you interested in with Lyric Farm?

Other:

Availability

Please indicate days and hours you're available:

Sunday

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Please indicate date if/when this schedule may change (e.g., school semester ends, etc.):

0/400 characters

Additional Information

Is there any other information you'd like us to know that can help us help you have an enjoyable and rewarding experience while you're here at Lyric Farm?

0/400 characters

Please list here any medical conditions, allergies, or other information you may want us to know that may be useful in the case of an emergency. Any information disclosed herein will be kept confidential unless it becomes necessary to share it with first responders in the case treatment is needed. (E.g., allergic to bee stings, etc.)

0/400 characters

I agree to abide by all written and verbal instructions of Lyric Farm's staff members and volunteer leaders. *

Signature

Draw Your Signature *

Date *

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