Austin's Day 2017 Registration
Thank you for your commitment to service. We appreciate your help.
Name (first and last) *
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Age *
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Address *
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City, State, Zip *
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E-mail *
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Phone Number *
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I prefer... (please note, we can not guarantee you will get your preference, but will do our best) *
Time Slot Requested (you can request more than one!) *
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Are you registering for a group or family of people? If so, please list how many people you are registering for (including yourself). *
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Would you prefer to volunteer in Champaign or Urbana *
I understand that while I check in at Centennial High School, I will need to provide my own transportation to an agency in the C-U area for my volunteer shift. *
Required
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