Online Registration Form
Make a Difference Day 2017 Sign up form
First Name, Last Name
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Phone Number
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Email address
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Age Range
Affiliation: Such as a church, business, club, group community member, individual, etc.
Your answer
I am leading a project and have volunteers to register. Please describe your project and list the number of volunteers in your group.
Your answer
I want to volunteer for a particular project with a group. ENTER THE SPECIFIC PROJECT NAME HERE!
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I want to volunteer for a particular project. Please describe which project below.
Your answer
I want to be assigned to any project that needs volunteers. Please let us know if you have any restrictions or special needs
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Do you want a Make A Difference Day Certificate?
Do you want a snazzy event T-shirt? (Only enough for the first 500 to register) If so, type in what size(s).
Your answer
Do you wish to attend the Volunteer Appreciation Event? An exciting celebration to honor all volunteers in the month following Make a Difference Day (to be announced).
Have you participated in Make A Difference Day before?
Mark your calendar! Saturday - October 28, 2017
October 28, 2017 - Be There or Be Square!
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