MACOA Online Volunteer Registration Form:

Select Volunteer Interest:
Name *
Name
Phone Number (Home)
Phone Number (Home)
Phone Number (Cell)
Phone Number (Cell)
Address
Address
Sex:
Veteran?
Do you speak another language other than English, fluently?
Available (Select)
Time(s) available (Select)
Emergency Contact Phone
Emergency Contact Phone

By pressing submit you agree: I volunteer my services through MACOA/RSVP. I understand that I am not an employee of MACOA. I also understand that if I use my personal automobile in my volunteer service that I will arrange to keep in effect my automobile liability insurance equal to the minimum limits required by the State of Alabama.