Safety Day Volunteer Signup

Thank you for your interst in volunteering at our 2024 Safety Day Event. The event will take place on May 11th, 2024 from 9am-4pm. As a volunteer you will help us with setup before the event and break down afterwards as well as help us with tasks during the events. These tasks range from navigation to general cleaning and assisting in activities for the public.

You can earn up to 7 SSL hours for volunteering at this event.

Please fill out the form below and we will contact you if selected. Limited spots are avialiable.

Email (Non-MCPS)

Phone Number

MCPS ID Number

What is your interest in pedestrian Safety?

T-shirt Size

Disclaimer

Yes, My child has my permission to volunteer at the in person Safety Day event on May 11th, 2024 from 9:00 am – 3:00 pm. I also acknowledge that I am the parent or legal guardian of this child participant, and I can execute this consent form. My signature on this form means that I have read and understood the information regarding this program and agree that my child may participate.

Yes, I give permission to MCDOT to use any photos and videos taken related to the event, and that the photos and videos may be used on social media, website or on other advertisements, at their discretion.

Signature of Parent or Guardian

First Name

Last Name

Choose how to sign

Draw Type

I agree to electronically sign and to create a legally binding contract between the other party and myself, or the entity I am authorized to represent.