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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
Contact Phone Number
Cell Phone preferred
One you check most often
If you listed yes above, please list what your limitations or allergies are here:
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.
Yes, I already have one.
No, I need one.
Unisex Adult Sizes Only
All day (8:30 am - 5 pm)
8:30 am - 1pm
12:30 - 5:30 pm
Do you want to receive community service hours?
If you want community service hours, to what organization or school is it for?
In an emergency, notify:
First and Last Name of your emergency contact.
Emergency Contact relationship to you.
Emergency Contact Phone Number
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.
If Volunteer is a minor (under 18) please type the Parent or Guardian's name who is responsible for this volunteer.
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