We have updated our Volunteer Agreement Form, please
CLICK HERE
to complete the new form
Date
First Name
Nickname / Preferred Name
Last Name
Street Address
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zipcode
Primary Email (Please use same email each time - it helps us find your record)
Primary Email type
Personal
Work
I would like to get newsletter emails from Manna Food Center
Yes
No
Phone
Phone Type
Cell
Home
Work
Age
18+
Under 18 - Parent or guardian must sign form on following page
Please type name of parent or guardian signing form
Emergency Contact Name
Relation to Emergency Contact
Please select...
Spouse
Parent
Sibling
Significant other
Co-worker
Friend
Other Relative
Other
Emergency Contact Phone
Contact Information