Mary's Mantle Volunteer Information Form
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First Name *
Last Name *
Mailing Address *
Primary Phone *
Alternate Phone
Email *
Birthdate *
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Emergency Contact *
EC Phone *
Frequency of Availability
Days Available
Times Available
Areas of Interest/Expertise & Additional Notes
Have you completed Protecting God's Children?
For more information on this program, visit https://www.virtus.org/virtus/protecting_children.cfm
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Date Submitted *
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