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: info@onesmallhouse.org

Trip Dates: August 1-5 2019
Trip Location: Tijuana, Mexico
Trip Leader: Craig Torres-Ness, Dave Kinnoin and Victor Campos

First Name: *
Your answer
Last Name: *
Your answer
Date of Birth: *
MM/DD/YYYY
Your answer
Male or Female: *
Mailing Address (line 1): *
Street or PO
Your answer
Mailing Address (line 2):
Additional address line
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City: *
Your answer
State/Province: *
Please use postal abreviations
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Postal Code: *
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Country; *
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Email Address: *
Your answer
Phone Number: *
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Emergency Contact: *
First and Last Name
Your answer
Relationship to Emergency Contact:
Spouse, sister, brother, friend, etc.
Your answer
Emergency Contact Phone Number *
Best number to reach
Your answer
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".
Your answer
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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