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2. Volunteer with the City of Bothell
   Please take a moment to complete the form below so we can better match you with one of our City volunteer opportunities or refer you to another public or non-profit service agency serving the Bothell community.
4. Volunteer Name*
5. Volunteer Phone Number*
6. Volunteer Email*
8. Date of Birth*
9. Parent/Guardian Name (If under 18)
10. Parent/Guardian Phone Number (If under 18)
12. Street Address
13. City, State, Zipcode
15. Emergency Contact Name*
16. Emergency Contact Relationship*
17. Emergency Contact Phone Number*
19. Are you volunteering as an individual or as part of a group?*

    1. Individual
    2. Group
20. If group: How many people are in your group?
21. If group: Is everyone in your group at least 14 years of age?

    1. Yes
    2. No
25. What volunteer opportunities are you interested in?*

    1. Adopt-a-Drain
    2. Animal Services (licensing and other)
    3. Emergency Preparedness - CERT (must be certified)
    4. Emergency Preparedness - Ham Radio (must be certified)
    5. Environment (invasive removal, planting, restoration)
    6. Neighborhood Canvasing/Doorhangers
    7. Outreach/Education Booth Staff
    8. Pet Waste Education
    9. Solid Waste/Recycling Audits
    10. Special Event Assistance
    11. All of the Above
27. Are there any other volunteer opportunities you are interested in?
31. Do you need to fulfill a specific number of volunteer hours?

    1. Yes
    2. No
32. If so, how many hours?
33. What are your volunteer hours required for?

    1. School
    2. Court Mandate
    3. Other
37. Volunteer Release of Liability Agreement*

    I am fully aware that the work associated with being a City Volunteer involves certain risks of physical injury or death. Being fully informed as to these risks and in consideration of my being allowed to participate in the City of Bothell Volunteer Program, I hereby assume all risk of injury, illness, damage and harm to myself arising from such activities or use of facilities. I also hereby individually and on behalf of my heirs, executors and assignees, release and hold harmless the City of Bothell, its officials, employees, volunteers and agents and waive any right of recovery that I might have to bring a claim or a lawsuit against them for any personal injury, illness, death or other consequences occurring to me arising out of my volunteer activities, except for those caused by the sole negligence of the City of Bothell.

    1. I agree
    2. I do not agree
39. Thanks for your willingness to volunteer!

    If opportunities come along that match your interests, we'll contact you by email with as much notice as possible to see if you're available to volunteer.

Leave This Blank:


41. 1. Receive an email copy of this form.
42. Email address

    This field is not part of the form submission.

43. Submit

* indicates a required field