Adopt-A-Park Service Hours Log
Please complete this form following all Adopt-A-Park volunteer activity on park property.
Return by mail to: Louisville Parks Volunteer Office, P.O. Box 37280 Louisville, KY 40233 or email to
LMPRvolunteer@louisvilleky.gov. Questions? Call 1-502-574-6403 or email LMPRvolunteer@louisvilleky.gov
.
Group Name: Park Adopted:
Site/Event:
Date(s) of Participation:
***ALL VOLUNTEERS MUST COMPLETE A WORKERS’ COMPENSATION AGREEMENT
FORM PRIOR TO VOLUNTEERING WITH LOUISVILLE PARKS AND RECREATION***
VOLUNTEER NAME
TIME IN
TIME OUT
HOURS
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
TOTAL SERVICE HOURS