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Last Name: Nhan
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First Name: Elena
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Middle Initial: N
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Address: 266 8th Ave
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Home Phone:
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Cell Phone: 415-361-7762
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Email Address: elenanhan819@gmail.com
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What Program or School are you volunteering with?Richmond food pantry
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What Grade are you in?
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Emergency Contact Name, Relationship, and Phone Number -Lisa Schneider mom 415 225 2643
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Privacy and Release Authorization
Please Sign and Date Below: grace schneider 11/22/16
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Parent/Guardian Approval
Parent/Guardian Signature and Date Below: lisa schneider
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Agreement and Release From Liability
Parent/Guardian Signature and Date Below:lisa schneider 11/22/16
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Volunteer Signature and Date Below:grace schneider 11-22-16
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