REGISTRATION: Kenosha Weekend of Service & Understanding

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Please fill out the form below to register for events for the Kenosha Weekend of Service & Understanding, Saturday, June 10th-Monday, June 12th, 2023.

Email *

Name *

Phone #: *

Would you like to attend the Uptown Community Cleanup on Saturday, June 10th between 9:30AM-12PM?

Yes

Maybe

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Would you like to join for the Human Library event at the Kenosha Public Library Southwest Neighborhood Library on Sunday, June 11th between 1-4PM?

Yes

Maybe

Clear selection

Would you like to potentially be a "Human Book" by being open to being asked questions about your unique life experience? (2 hr Zoom training required)

Yes

Maybe

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If you want to be a "Human Book" what type of lived experience might you talk about (i.e. religion, survivor of trauma, occupation, ethnicity, lifestyle, neurodiversity, family, gender and sex, health, mental health, sexuality, social status)?

Would you like to attend the Kenosha Summer Shindig at Carthage College June 11th between 5-9PM?

Yes

Maybe

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Would you like to volunteer at the Grace Welcome Center Food Pantry from 9AM-12PM on Monday, June 12th?

Yes

Maybe

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NOTE: This service opportunity can involve lifting. Are you capable of lifting from 10-50 lbs?

Yes

Maybe

Clear selection

Would you like to attend the Night of Unity and Hope at the Kenosha Creative Space on Monday, June 12th from 7-10PM?

Yes

Maybe

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Anything else we should know?

Do you have any dietary restrictions?

Have any questions or special requests?

A copy of your responses will be emailed to the address you provided.

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