I'm Determined 2018 Youth & Parent Mini Summit Volunteer Form
Saturday, April 14, 2018 Frederick County Middle School
8:00AM - 12:00PM 4661 North Frederick Pike
Pizza Lunch Provided Winchester, VA 22603

Please keep in mind that participants may be photographed at this public event. If you do not wish to be photographed, please contact Michele Sandy at 540-662-3889 ext 88113.

I'm Determined Team
Name *
Your answer
Contact Number *
Your answer
Email Address *
Your answer
Street Address
Your answer
City
Your answer
Zip
Your answer
Are accommodations required?
If yes, Accommodations needed
Your answer
Volunteer Requirements
Only Frederick County Public School employees, students and those individuals on the pre-approved volunteer list of their home school may register as a volunteer. If you need to confirm you are on the approved volunteer list for Frederick County Public Schools, please contact your school administrator for confirmation.
Volunteer Status: *
Required
Volunteer Opportunities
The areas of need are listed below. Please choose those areas in which you would like to volunteer. Thank you!
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