Form Center

2. Volunteer Information
4. Name*
5. Age*
7. Address*
9. City*
10. State*
11. Zip Code*
13. Phone Number*
15. Email Address*
17. Emergency Contact Information
19. Emergency Contact Name*
20. Emergency Contact Relation*
22. Emergency Contact Phone Number*
24. Experience and Program Preferences
26. Please explain any experience you may have with individuals with disabilities.*
28. Do you have any special skills, talents, certifications, qualifications etc. that would be beneficial to the RAD Program?*
30. Are you affiliated with any community organization, school or other program?*
32. Which programs do you have interest in volunteering with?*

    1. RAD Dances
    2. RAD Fun Fridays
    3. RAD Open Rec (Gym)
    4. RAD Swim Classes
    5. RAD Fitness
    6. RAD Yoga
    7. RAD Striders (Walking Group)
33. What age group would you prefer to assist?*

    1. 0-5
    2. 5-12
    3. 12-17
    4. 18-30
    5. 30+
35. Next Steps

    Your application will be sent to our RAD Coordinator, Yadira Barrera, and someone from our RAD Program will contact you with more information. 

Leave This Blank:


37. 1. Receive an email copy of this form.
38. Email address

    This field is not part of the form submission.

39. Submit

* indicates a required field