Please complete this application form if you are interested in becoming a City of Wentzville's Parks and Recreation Department volunteer. Once you complete the form, click the Continue button at the bottom.

Name and address

Emergency Contact

First name:

Last name:

Home phone:

Cell phone:

Relationship:

Demographic Information

The following information is used only to help us get a better idea of the demographic make-up of our volunteers.

Date of birth:

Gender:

Volunteer Information Center

We provide an online "Volunteer Information Center" where volunteers may check their schedules, update their information, and receive messages. Please select the password you would like to use to access the online Volunteer Information Center.

Please enter a password that:

Is between 6 and 30 characters long

Password:

Confirm password:

Hold Harmless

I hereby release and agree to defend, indemnify and hold harmless the City of

Wentzville, Wentzville Parks and Recreation Department and the City's agents,

employees, elected officials and volunteers from and against any and all liability,

actions, causes of actions, claims, demands or lawsuits whatsoever resulting from

or arising out of personal injuries, including death, loss of or damage to property, or

involving any impairment of or damage to any right because of or in any way

related to the City resulting from my participation in this activity. I also authorize

any photos/videos taken of myself and/or the participant, to be used in any

publicity or promotional materials by the Wentzville Parks and Recreation

Department.

If you do not want yourself or your child photographed/filmed, please notify the

administration office in writing in advance of the program starting.

I Agree