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Disaster Volunteer Registration Form
Thank you so much for sending your team of volunteers to serve with us in Horry County. We recognize that without amazing volunteers like yourself, we cannot get our community put back together. We look forward to serving with you side by side for the many days to come.

Please fill out the following information form about your team so we can get you placed as quickly as possible with your matching skill set. Thank you again for volunteering here and if you should have any questions, please do not hesitate to send us an email at info@impactmb.org

First Name (if you are bringing a team, please use the team leader's name) *
Your answer
Last Name (if you are bringing a team, please us the team leader's name) *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Zip *
Your answer
Cell Phone *
Your answer
E-mail *
Your answer
Date of Arrival (N/A for local volunteers)
MM
/
DD
/
YYYY
Arrival Time (N/A for local volunteers)
Time
:
Departure Date (N/A for local volunteers)
MM
/
DD
/
YYYY
Departure Time (N/A for local volunteers)
Time
:
How Many Team Members Do You Have (N/A for local volunteers)
Your answer
Do You Need Housing (if yes, housing options will be discussed when we contact you to arrange your trip) *
Additional Notes *
Your answer
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