What's your email address?

Your information


Required fields are marked with an asterisk (*). One of the fields below is a file upload/attachment, the file size must be less than 10MB.
What kind of volunteer are you?
First Name *
Last Name *
Mobile Phone *

For example, 123-456-7890
SMS/text messaging: By providing your mobile number and checking the box below, Severson Dells Nature Center will be allowed to send you SMS (text) messages relating to their volunteer activities. To opt-out, reply STOP to any SMS message OR return to this form and uncheck the box.
Home Phone Number (if applicable)
Emergency Contact First Name *
Emergency Contact Last Name *
Emergency Contact Phone Number *
Group Affiliation
Service Interest *





Birth Date

A valid date as MM/DD/YYYY (for example: 11/30/2015)
Pronouns (ex: they/them, she/her, he/him)
Volunteer Type
Address
City
State
Zip Code