AmeriCorps Cape Cod/Army Corps of Engineers Canal Clean-Up 2017
NOTE: pre-registration is for organizational purposes, you will still be required to fill-out a form the day-of at the volunteer event - thanks!

If you are registering a group of volunteers, please do not have members of your group register in addition to your registration.

If you experience any problems with this form, please contact andrew.platt@barnstablecounty.org

Personal Information
First Name
Your answer
Last Name
Your answer
Email Address
Your answer
Phone Number
Your answer
Emergency Medical Information
If you have any allergies or medical conditions, please provide emergency contact information and
remember to inform the volunteer site supervisor in case of emergency.
Emergency Contact First Name
Your answer
Emergency Contact Last Name
Your answer
Emergency Contact Phone Number
Your answer
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