Form

Paint a Playground Interest Form

Institution:

Address (Include City and Zip Code)

Contact Person:

Title:

Phone Number:

Email:

Are you a part of the Fort Worth Independent School District?

Yes

Briefly describe the paint area:

Is it one large area or multiple smaller areas?

Are there basketball hoops?

Are there fire lanes?

Is there a water spigot near the paint area?

Will volunteers have access to a bathroom?

Yes

Briefly describe the physical location where JLFW volunteers will be working, volunteer parking, and any safety precautions your agency will take to protect JLFW Volunteers and their personal property:

JLFW requires that an agency staff person be onsite and available during the project. This contact should also be available via phone should the volunteers encounter any problems the day-of the project, such as inclement weather. Please provide the name and contact information for the day-of contact person, which will be provided to JLFW volunteers.

Day-of Event contact name:

Day-of Event contact phone:

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