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Student Volunteer Information
NAME:
TEACHER:
GRADE:
AGE:
BIRTHDATE:
HOME PHONE NUMBER:
I would like to volunteer on the following days (check all that apply)
MONDAY
TUESDAY
WEDNESDAY
THURSDAY
During this time (check all that apply)
BEFORE SCHOOL
RECESS
AFTER SCHOOL
Here’s what I would like to help with (check all that apply)
FOOD PREPARATION (MAKING TOAST, POURING MILK AND CEREAL, FLIPPING PANCAKES, ETC.)
SERVING FOOD (HANDING FOOD TO STUDENTS, DELIVERING FOOD, ETC.)
SET UP/CLEAN UP (TABLE SETTING, CLEARING DISHES, WIPING TABLES, ETC.)
DECORATING (CREATING POSTERS, BULLETIN BOARDS AND MAKING THE ROOM LOOK NICE)
ENTERTAINMENT (RUNNING ACTIVITIES, PLAYING MUSIC, ETC.)
BREAKFAST COMMITTEE (MEET WITH ADULTS TO HELP MAKE MENU PLANS, BUDGET, ETC.)
OTHER:____________________________________________________________________
I’m excited to help at Breakfast Club because
TEACHER SIGNATURE:
*Please return your completed form to:
PARENT SIGNATURE:
FRIDAY
