First Name: ______________________________ Last Name: ______________________________

Address: _______________________________________

City: _________________________________ State: ____ Zip: ____

Telephone: (Home) ______________________________ (Mobile) ________________________

Email Address: ______________________________ Male Female

Are you 18 years of age or older?  Yes  No

If no, state age: ____ (Parent or guardian must sign below if under 18)

In Case of Emergency Notify: _________

Name:___________________________________________ Address:__________________________________

Telephone: _______________________________________ City/State/Zip:_____________________________

I can volunteer during the following times:

8am 9am 10am 11am 12pm 1pm 2pm 3pm 4pm

I am interested in serving as a volunteer for the following areas:

 Registration  Facilitator  Vendor  Runner  Stage/  Set Up &  Escort
Assistant Assistant AV Break Down

I certify, to the best of my knowledge, that the statements, I have made are true and correct. I understand that volunteers work/activities
associated with the FANCY Expo in any assigned role are not being paid. FANCY liability insurance coverage is not extended to
volunteers or interns. Volunteers acknowledge and agree that FANCY or any partnering organization are not liable for damage to or loss
of personal property belonging to volunteers or for personal injury to volunteers.

_______________________________________________ ___________________________________
Signature of Volunteer Date

*If you are not 18 years of age or older, a parent or guardian must complete the following statement:
I have read the volunteer/intern services agreement and confirm that (name minor) __________________________________ has my
permission to participate as a volunteer in the program described for the selected task.

_______________________________________________ ___________________________________
Signature of parent or guardian Date