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Ichimura Miami-Japan Garden Repeat Volunteer Form 2017
If you have volunteered at one of our previous events please fill out this form.
First Name / Last Name *
Your answer
Contact Phone Number *
Cell Phone preferred
Your answer
Email Address *
One you check most often
Your answer
Physical Limitations/Allergies *
If you listed yes above, please list what your limitations or allergies are here:
Your answer
Do you already have a Ichimura volunteer t-shirt? *
If you already have one, PLEASE answer "YES" and wear the one you already have when you volunteer.
T-shirt Size
Unisex Adult Sizes Only
Volunteer Availability *
Required
Do you want to receive community service hours? *
If you want community service hours, to what organization or school is it for?
Your answer
In an emergency, notify:
First and Last Name of your emergency contact.
Your answer
Emergency Contact relationship to you.
Emergency Contact Phone Number
Your answer
Volunteers hereby agree to serve any client who is assigned regardless of race, sex, creed or national origin. *
You must agree with the above if you want to volunteer with us.
Please type your name below as your signature to this volunteer form. *
By typing your name below you agree that all of the questions were answered honestly and accurately to the best of your ability.
Your answer
If Volunteer is a minor (under 18) please type the Parent or Guardian's name who is responsible for this volunteer.
Your answer
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