First Name*

Last Name*

Phone #*

Email*

Address*

City*

State*

Zip*

School/employer/organization

How many people in the group are attending?

Your age*: Your age*: Under 18 (must be at least 16) 19-24 25-39 40-59 Above 60

Do you have any physical limitations? (describe)

How did you hear about volunteer opportunities at the eSTEAM Festival? How did you hear about volunteer opportunities at the eSTEAM Festival? Word of mouth Festival email list Festival website Social Media Newspaper Other

If other, please share:

Availability during festival: (Please check at least one) Availability during festival: (Please check at least one) Friday, October 5th Saturday, October 6th Whenever needed

Preferred shift: Preferred shift: Midday (11am-2pm - October 5th) Afternoon (2pm - 5pm - October 5th) Late Afternoon (5pm-8pm - October 5th) Morning (6am - 10am - October 6th) Midday (10am - 2pm - October 6th) Afternoon (2pm - 5pm - October 6th)

Do you have any food allergies? Do you have any food allergies? Yes No

If so, please explain:

What size T-shirt would you like? What size T-shirt would you like? SMALL MEDIUM LARGE XL 2XL 3XL 4XL

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