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#Project Y 2025 - 1 Day/200 Hands - 4/26/2025
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Email *
First Name *
Last Name *
Address *
City *
Zip Code *
Mobile Number *
Emergency Contact and Phone Number *
T-Shirt Size (Adult) - Select 1 *
Project Site - Select your top three:  You will learn your assignment and location prior to the event.  All assignments require proper dress - clothing that can get soiled and closed-toe shoes.  Your assignment will be confirmed 1 week prior to project date. *
Freight Farm Projects
Healthy Kids Day
First Choice (Select One)
Second Choice (Select One)
Third Choice (Select One)
School you or your child attends? *
Grade Level or Adult Mentor (Please check one) *
The Y is committed to a clean, safe, and healthy environment for our staff and members. This waiver is a requirement from our insurance company. We are following guidelines and are confident in our plans to keep staff and members safe. I fully understand both the known and potential dangers of utilizing the facilities, services, and programs of the YMCA and acknowledge that use thereof may, despite the YMCA’s reasonable efforts to mitigate such dangers, result in exposure to COVID-19. By typing my name below, I attest that I have read and agree to the Assumption of https://docs.google.com/document/d/1jS0571QgUURQVxewi0ubifjKUaXYTkcQ7xFqFga6ZCA/edit?usp=sharing *
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A copy of your responses will be emailed to the address you provided.
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