Become a VARHA Volunteer

Name *
Name
Date of birth *
Date of birth
Address *
Address
Phone number *
Phone number
Alternate number (if applicable)
Alternate number (if applicable)
Check areas for which you are interested in volunteering: *
Digital signature
Note: The State of Pennsylvania requires all volunteers, 18 or older, complete certain clearance reports. Before working with our riders, you will be required to complete both Volunteer Training at VARHA and state-mandated reports applicable to you.
Digital Signature of Volunteer
Date *
Date
Date
Date