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Volunteer Application
Contact Information

First Name
Last Name



Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
During which times are you available for volunteer assignments?
Tell us in which areas you are interested in volunteering

Tell us your areas of interest and your talents that would be beneficial on the farm

Please provide the name and phone number of the person to contact in case of emergency

Please list any medical conditions and/or allergies that may impact your safety or experience at Brackett Town Farms: (Examples: diabetes, bee sting allergies, seizures, asthma, cardiac problems, etc.) THIS WILL NOT PREVENT YOU FROM VOLUNTEERING; IT ALLOWS US TO PROVIE A SAFER ENVIRONMENT FOR YOU.

By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a volunteer, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal.