First Name *
Last Name *
Date of Birth *
Address *
City *
State *
Zip *
E-Mail *
Home Phone *
Cell Phone
Drivers License Number *
During which hours are you available for volunteer assignments? (Hold shift key to select more than 1 option) * Weekday morningsWeekday afternoonsWeekday eveningsWeekend morningsWeekend afternoonsWeekend evenings
Which areas are you interested in volunteering? (Hold shift key to select more than 1 option) * Fishing/Boating TripsSpecial EventsServe on the Board of DirectorsFundraisingServe on a CommitteeOther
Person to notify in case of emergency *
Phone Number of Emergency Contact *
Your Signature here is an electronic signature. This gives LGF permission to do a Background Check *
