Volunteer Registration Page

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Name *

First

Last

Address *

City, State, and Zip Code *

Telephone Number *

Email *

Emergency Contact *

First

Last

Emergency Contact Telephone *

Describe Any Special Skills or Qualifications

Background Check *

I Authorize and Consent to a Background Check Conducted by Starfish Disaster Recovery.

Liability Waiver *

I Hereby Waive Starfish Disaster Recovery of any Liability and Release them from any Responsibility