2. First Name*
3. Last Name*
5. Email Address*
6. Phone Number*
8. Participant is the same as above

   1. Yes
10. Participant First Name
11. Participant Last Name
13. Please Check One for Participant 1:*

    1. I am over the age of 18.

    1. I am under 18 years old.*

    *Volunteers under 14 years of age must be accompanied by a parent/guardian.

17. Additional Volunteers of the Same Immediate Family

    Please list additional family members who will be volunteering. If signing up minors of the same family, please list names and if they are over/under 18. All children under the age of 14 must be accompanied by a parent/guardian.

19. Participant 2 First Name
20. Participant 2 Last Name
22. Please Check One for Participant 2:

    1. I am over the age of 18.

    1. I am under 18 years old.*

    *Volunteers under 14 years of age must be accompanied by a parent/guardian.

24. Participant 3 First Name:
25. Participant 3 Last Name:
27. Please Check One for Particiapnt 3:

    1. I am over the age of 18.

    1. I am under 18 years old.*

    *Volunteers under 14 years of age must be accompanied by a parent/guardian.

29. Participant 4 First Name:
30. Participant 4 Last Name
32. Please Check One for Participant 4:

    1. I am over the age of 18.

    1. I am under 18 years old.*

    *Volunteers under 14 years of age must be accompanied by a parent/guardian.

34. TOWNSHIP VOLUNTEER RELEASE AND WAIVER OF LIABILITY
    Township Volunteer Waiver (PDF)
36. Please read the Township Volunteer Release and Waiver of Liability (PDF listed above).**

    1. I further state that I have carefully read the foregoing release, know its contents and sign for myself and all listed participants as my own free act.

38. Questions? Please contact CHEB@chnj.gov or Events@chnj.gov.

Leave This Blank:


40. Submit

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