Volunteer Check In

Name *

First Name

Last Name

Phone

(###)

###

####

Service Date *

MM

DD

YYYY

Safety Video *

I have viewed and understand the safety requirements for this work.

Yes

No

Orchard Safety Videos

Has everyone in your group watched ALL of the Orchard videos in the link above (how to thin a peach tree video, FDA video on Worker Protection Safety, and Worker Protection Safety.) If you have not please watch now. It is required upon entry.

Yes

No

Task Safety *

I acknowledge that I have received a safety orientation and training specific to the tasks and projects assigned. I also represent that I am physically able to preform the tasks and projects assigned. (Video at link above form)

Yes