Manor Free Clinic Interest Form

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This clinic is offered the first Saturday of every month!

Location: 12904 Gregg Manor Rd. Manor, Texas 78653 (find us on Google Maps)

Date & Time: First Saturday of every month from 9am - 1pm

Please reach out to us with any questions at manorfreeclinic.info@gmail.com

Name *

Email *

Phone Number *

Would you be interested in volunteering behind the scenes to support clinic?

Yes

Maybe, would like to know more

Other:

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Would you be interested in volunteering in the clinic?

Yes

Maybe, would like to know more

Other:

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Are you interested in receiving health care at the Manor Free Clinic?

Yes

Maybe, would like to know more

Other:

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Would you like to be a part of the clinic Google Group to stay up to date on volunteer opportunities and clinic updates?

Yes

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Comments or Questions?

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