DLSSP Registration 2018
January 20th, 2018, 10 am-5pm in Show Low, AZ

Come serve alongside members from all over the district at our first ever district large-scale service project! Volunteer at local nonprofits and at on-site projects benefiting pediatric oncology patients! There will be an optional lunch provided.

Last Name, First Name *
Your answer
CKI Club of
Your answer
Phone Number *
Your answer
E-mail *
Your answer
Address (Street, City, State, ZIP Code) *
Your answer
Are you interested in receiving or hosting lodging arrangements? If so, please specify whether you need housing or can house others. *
Some individuals will have a 4 hour drive to the event, and thus might want to spend Friday and/or Saturday night along the way (i.e. members from Tucson might want to stop in Tempe). Lodging is available upon request and availability, as other members will be hosting. Please indicate whether you would like to be housed or provide housing. If you can provide housing, please indicate how many individuals you can house.
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Arizona State University. Report Abuse - Terms of Service - Additional Terms