Name *
Name
Address *
Address
Date of Birth
Date of Birth
Phone *
Phone
T-Shirt Size: *
Emergency Contact
Emergency Contact
Emergency Phone
Emergency Phone

By submitting this application, as a volunteer I hereby agree to serve any client who is assigned regardless of age, race, sex, creed or national origin. This agreement releases The Comal County Senior Citizens Foundation (CCSCF) from all liability relating to injuries that may occur while visiting, exercising, or volunteering. By signing this agreement, I agree to hold CCSCF entirely free from any liability, including financial responsibility for injuries incurred, regardless of whether injuries are caused by negligence.