Please complete the following information. Note:  No volunteers under 21 years of age will be accepted.  A government ID is required. Q1 First name Q2 Last name Q3 email (leave blank if you don't have an email address--email is our preferred method of communication) Q4 Telephone number with area code (enter in format xxx-xxx-xxxx, leave blank if you don't have a phone number) Q5 What type of phone number is this?   Cell phone Home phone Work phone Other   5a. Specify the other type of phone number.

Q6 Have you previous volunteered for the Rhythm and Ribs Festival?   Yes No Q7 What did you do? (Mark all that apply)   Ticket sales Ticket taker/scanner Beer Garden Soda/Water Crew VIP Support Sell merchandise Nurse/First Aid Q8 What would you like to do this year?  (Mark all that apply)   Ticket sales Ticket taker/scanner Beer Garden Soda/Water Crew (most physical position, helps set up) VIP Support Sell merchandise Nurse/First Aid (must be nurse or EMT) Can fill in where needed

Q9 What time(s) are you available to work on Saturday, October 13, 2012? (Mark all that apply)   Early (Crew, set-up or volunteer coordination activities) 10:00 a.m. to 2:30 p.m. 2:00 p.m. to 7:30 p.m. 6:30 p.m. to midnight/close Q10 What time(s) do you prefer to work? (Mark all that apply)   Early (Crew, set-up or volunteer coordination activities) 10:00 a.m. to 2:30 p.m. 2:00 p.m. to 7:30 p.m. 6:30 p.m. to midnight/close

Q11 What company or organization are you affiliated with?   American Jazz Museum Blue Cross and Blue Shield of Kansas City CenturyLink Sprint Other   Q11a Specify the company or organization. Q12 What size t-shirt do you prefer?   Medium Large X Large 2 X Large 3 X Large Other size (May be available) Q13 What other size t-shirt do you prefer?  (Other size may be available.)   Small 4 X Large 5 X Large

Thank you for volunteering!  We will contact you as soon as we have assessed our needs.  Volunteers must attend ONE orientation session. Orientation will be held in the American Jazz Museum Atrium, 1616 E. 18th Street, Kansas City, MO from 6:00 to 7:00 p.m. on the following dates: Monday, September 10 Monday, September 17 Monday, September 24 The Festival Rally will be Thursday, October 11 from 5:30 to 7:00 p.m. in the Blue Room, on the corner of 18th and Vine. Clicking the Submit Button indicates your consent to the following: I give the American Jazz Museum permission to photograph me while volunteering during the Rhythm and Ribs Festival.  I understand these photos may be used for American Jazz Museum's promotional purposes. I certify that the information provided in this application is true and correct, and has been given voluntarily.  I understand and release the American Jazz Museum from any liability whatsoever for supplying such information.