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2. First Name*
3. Last Name*
5. Date of Birth:
6. Have you volunteer for The City of Cortez Before?
   -- Select One --YesNoI don't know
8. Phone number:*

   555-555-5555

9. E-mail
11. Sport interested in volunteering with

    1. Girls Basketball
    2. Boys Basketball
12. Position interested in volunteering as

    1. Coach
    2. Assistant coach
    3. Referee

    1. Score keeper
    2. Any
    3. Other
14. Experience level
    -- Select One --First timeFamiliarI've got this

16. Thank you for stepping up to support our Girls and Boys Basketball programs!  We deeply appreciate every volunteer — whether you’re coaching, refereeing, scorekeeping, or assisting in other ways. No matter your skill level or experience, your time and dedication make a real difference for our athletes and community.

    Someone from our team will be reaching out soon with further instructions and details about your role. In the meantime, if you have any questions, please contact Max Loving at the Cortez Recreation Center: 📧 Mloving@cortezco.gov 📞 970-564-4080

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18. 1. Receive an email copy of this form.
19. Email address

    This field is not part of the form submission.

20. Submit

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