Adult Volunteer Application

Name

Date of Birth

Address

City

State

Zip Code

Phone

Email

Emergency Contact

Emergency Contact Phone

Please list any other specific talent, skill or desired volunteer task:

Volunteer's Insurance Disclosure

As a volunteer, you are not considered an employee of the Rouse Estate; therefore you are not covered by the Estate's Worker's Compensation or General or Professional Liability Insurance. The Rouse Estate does provide a limited excess insurance policy for volunteers, but this insurance is secondary to your personal insurance.

Acknowledgement of Insurance Disclosure (Your Signature)

Adult Application

Rouse Adult Application