National Trails Day Signup (June 3, 2023)

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Please read the following mandatory 2023 JHA (Job Hazards Analysis):

General-Trail-and-Field-Work-JHA-FY23-SIGNED

I have read and understood the Job Hazard Analysis (JHA), and am hereby signing it electronically. *

I agree

Please read the following mandatory 301b Volunteer Service Agreement:

OF-301b_2021-2024_Trails_Crew

Date of birth *

I understand the health and physical condition requirements for this position, and I know of no medical condition or physical limitation that may adversely affect my ability to provide this service. *

Yes
No

I consent to being photographed, and to the release of my photographic image. *

Yes
No

I have read and understood the 301b Volunteer Service Agreement (Trails Crew/Trails Volunteer, Group Leader: Tim Cromwell, AGREEMENT# (OF-301A box21): 23-VS-110419001-0004, OMB Control Number 1093-0006, Expiration Date 10/31/2024), and am hereby signing it electronically. *

I agree

Date of signature (today) *

I am hereby signing the National Trails Day 2023 JHA and 301b forms *

Clear Signature

Please sign in the box using your computer mouse or your touch screen.