August 2019: One Small House Volunteer Form
Please complete the following registration questionnaire. Once you're on our formal roster, we'll provide information regarding the trip and all pertinent details. That said, if at any point you have any questions, please don't hesitate to contact us at:

Trip Dates: August 1-5 2019
Trip Location: Tijuana, Mexico
Trip Leader: Craig Torres-Ness, Dave Kinnoin and Victor Campos
First Name: *
Last Name: *
Date of Birth: *
Male or Female: *
Mailing Address (line 1): *
Street or PO
Mailing Address (line 2):
Additional address line
City: *
State/Province: *
Please use postal abreviations
Postal Code: *
Country; *
Email Address: *
Phone Number: *
Emergency Contact: *
First and Last Name
Relationship to Emergency Contact:
Spouse, sister, brother, friend, etc.
Emergency Contact Phone Number *
Best number to reach
Please describe any medical or physical conditions we should know about to ensure that you stay healthy and safe during your trip: *
If none, please enter "none".
Provide your anticipate arrival and departure dates/times *
While we'd love to have you there the entire time, we understand life happens, and we want to be as accommodating as possible. We'll be there from Thursday, August 1st - Monday, August 5th.
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