2. 
4. Opt in to a background check.*
   I understand the La Marque Police Department will use the information provided in this form to run a background check as part of the vetting process for City of La Marque volunteers.
6. Full, legal name*
7. Date of birth *
9. Street address*
10. Texas Driver License No. or Texas ID No.*
12. City *
13. State*
14. Zip Code*
16. Email address*
17. Cell phone number *
19. What are you wanting to Volunteer for
    -- Select One --City ParksCode ComplianceDevelopment ServicesEconomic DevelopmentEmergency Management FinanceFire DepartmentInformation TechnologyMunicipal CourtPolice DepartmentPublic LibraryUtilities Billing Dept.

21. City of La Marque thanks you for offering your time and effort!

23. Volunteer Photo Waiver and Liability Release*

     To participate in events, completion of this Volunteer Photo Waiver and Liability Release is required.  By clicking “yes” on this survey, I hereby give City of La Marque permission to take photographs and video of myself and all minors in my care for the purpose of promoting City of La Marque. I hereby release and discharge City of La Marque from any and all claims arising out of the use of the photos and/or videos, or any right that I or the minor may have. By clicking “yes” on this survey, I also release City of La Marque from any liability for myself and all minors in my care including personal injury, property loss, or damage related in any way to City of La Marque volunteer opportunities. I agree that I will hold City of La Marque harmless and assume all risk of the volunteer engagement of myself and all minors in my care.

    
    

    
    

    1. Yes

    1. No
Leave This Blank:


25. 1. Receive an email copy of this form.
26. Email address

    This field is not part of the form submission.

27. Submit

* indicates a required field