Volunteer Registration Form

1.	First Name (MUST BE AS APPEARS ON YOUR DRIVER'S LICENSE)*

2.	Middle Name or Initial (MUST BE AS IT APPEARS ON YOUR DRIVER'S LICENSE. IF YOU DO NOT HAVE A MIDDLE NAME OR MIDDLE INITIAL ON YOUR DRIVER'S LICENSE, LEAVE BLANK.)

3.	Last Name (MUST BE AS IT APPEARS ON YOUR DRIVER'S LICENSE)*

4.	Street Address*

5.	City*

6.	State*

7.	Zip*

8.	Phone (Cell)*

9.	Phone (Home)*

10.	Please enter your date of birth.*
	mm/dd/yyyy

11.	Please enter your driver's license number.*

12.	Email*

13.	Are you a parent/guardian of a current Methacton student?*
	--Please Select--YesNo

14.	Emergency Contact Name*

15.	Emergency Contact Relationship*

16.	Emergency Contact Phone (Cell)*

17.	Emergency Contact Phone (Home)*

18.	Please indicate any special health problems/allergies/medications we should know about.

19.	By checking the box below, you acknowledge that you have read and understand the Methacton Volunteer Manual, and all School Board Policies linked therein.*
	By checking the box below, you acknowledge that you have read and understand the Methacton Volunteer Manual, and all School Board Policies linked therein.* I understand the requirements.

	THANK YOU! AT THIS TIME, PLEASE PRINT THIS COMPLETED FORM OUT AND INCLUDE IT WITH YOUR CLEARANCES. YOU CAN PRINT THIS FORM OUT BY CLICKING ON THE RIGHT SIDE BUTTON ON YOUR MOUSE AND SELECTING "PRINT." ONCE YOU HAVE PRINTED OUT THE REGISTRATION FORM, PLEASE CLICK ON "NEXT" TO GO TO THE NEXT PAGE.