Individual Volunteer Form

Step 1 of 4

All volunteers must be 18 years of age or 16 years old and supervised by an adult.
Name(Required)
Address(Required)
MM slash DD slash YYYY

Wheelchairs

Walkers with Wheels

Shower Chairs

Power Chairs

Hospital Beds

Hoyer Lift

Rollators

Commode

Scooters

Trapezes

Tub Transfer Benches