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

First name:

Last name:

Street 1:

City:

State:

* Zip: *

Home phone:

Cell phone:

Email address:

T-Shirt size:

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 and the City's its agents, employees and volunteers from and against any and all liability, actions, causes of actions, claims, demands for 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 Agree