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2. Adult Volunteer Application
   Please complete the following application and click submit. The Teen Court Coordinator will contact you concerning how you may become a volunteer. Thank you for applying!
4. First Name*
5. Last Name*
6. Date of Birth
   Date of Birth
8. Home Phone
9. Cell Phone*
10. Email address*
12. Street address
14. City
15. State
16. Zip
18. Emergency Contact*
19. Phone*
23. Why would you like to volunteer with Castle Rock Teen Court?*
24. What kind of experience with criminal justice do you have?*
26. What kind of experience with youth do you have?*
27. I'm interested in volunteering in Teen Court as a(n)*

    1. Attorney Mentor
    2. Judge Mentor
    3. Administrative Assistant

    1. Case Manager
    2. Unsure
31. Teen Court Waiver of Liability & Release
    It is understood and agreed that the undersigned Teen Court Participant will perform solely as an individual on a voluntary basis and not as an employee, contractor, or agent of the Town of Castle Rock and will not receive any benefits or compensation except as specifically provided for in the Agreement. It is further agreed that the undersigned do hereby and forever release, acquit, discharge, indemnify, and covenant to hold harmless, the Town of Castle Rock, its officers, agents, and employees from any and all actions, causes of action, claims, liability, demands, damages, costs, losses of service, medical expenses, and compensation, on account of, or in any way growing out of any and all known and unknown personal injuries, property damage, or any other type of damage, which the undersigned may hereinafter have, individually and/or as parent, guardian, or custodian of said minor, resulting or growing out of participation in or observation of the Teen Court Program. I, the undersigned, give my permission for the Town of Castle Rock or any other media or press outlet to video tape, photograph, or interview me as a result of my participation in or observation of Teen Court. Furthermore, I give permission for these organizations to use any such tape, photo, or interview without limitation as to time, manner, or frequency. I hereby waive any right to compensation for any such use. In making this Agreement, I rely wholly upon my judgment, belief, and knowledge and have not been influenced to any extent whatsoever by any representations or statements not contained in this agreement.
33. First Name*
34. Last Name*
35. Date*
    Date
Leave This Blank:


39. 1. Receive an email copy of this form.
40. Email address

    This field is not part of the form submission.

41. Submit

* indicates a required field