Women's Service Day Registration 2014
Our service event will be Thursday, August 14, 2014. If you have questions, get more information at WomensServiceDay.com, by emailing womensserviceday@gmail.com, or by visiting our Facebook page, Women's Service Day (Holland/Zeeland). Note the confirmation of your registration when you've clicked "submit"; you'll receive full event information and your specific assignment via email in early August.

Thanks for your willingness to serve women and children in our community!
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Your first name *
Your last name *
Your email address *
Note that our follow-up contact will be via MailChimp, an email marketing tool. If your company aggressively screens incoming email, providing a personal email address may assure you receive our messages.
Cell phone number *
000-000-0000 in format, in case we need to reach you last-minute. If you don't have a cell phone number, a landline where a message could reach you is almost as good!
Home zip code *
Knowing where our volunteers come from will help us plan future events.
Emergency contact name *
We've still never had to use an emergency contact, but we like to know we could. Who should we call on the day of the event?
Emergency contact phone number *
Just in case, whatever number, cell or land (000-000-0000 in format), will be most likely to make the connection.
When are you available for volunteer crews on August 14? *
Check all that apply
Required
Will you attend lunch at 77 West 11th Street, Holland? *
Lunch includes good food, time to socialize, and more opportunities to do good for our community.
What kinds of tasks to you prefer? *
We can't guarantee we'll have tasks to match, but if we don't ask, we can't try!
Required
What tasks are you willing to lead?
Some crews benefit from having a person with special expertise or who's done a little planning. If you're not interested in being a crew leader, skip this question.
Are there any physical limitations we should plan for when making crew assignments?
Check all that apply
What is your current employment status? *
If you are currently employed, what is the name of your employer?
How did you hear about Women's Service Day? *
By submitting this form to register for Women's Service Day 2014, you agree to opt in to our mailing list. *
This assures that you receive critical information about your registration and plans for the event, distributed via Mailchimp, our email service provider.
Required
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