Request edit access
Be a Lifesaver
Apriil 26 - 28, 2019
Event HQ: 6687 Seeco Drive, Kalamazoo
Contact us at (269) 552-4430 or
Email address *
Name *
Your answer
Complete Mailing Address *
Your answer
Number in Your Party *
Email *
Your answer
Phone (without spaces or dashes) *
Your answer
Your answer
What days will you volunteer? *
Time(s) *
Location (top 3 choices) *
Participation in KCAN events indicates consent to be photographed and videographed and to have your likeness used without compensation. KCAN maintains complete ownership of images and holds copyright for same and may use them for any purpose consistent with KCAN's mission. I release KCAN from all claims in connection to the use of these photographs and video recordings.
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service