IAC - Day of Hope May 4, 2019
Email address is:
Family Last Name
How many adults (age 18 or over)?
Enter FIRST name(s) of adults separated by a comma (,)
Number of children participating? (under 18 years of age)
Enter the age of each child - separated by a comma (,)
We require at least one phone number. You may write "N/A" if you have only one phone number.
Home Phone Number
Cell Phone Number
Please identify any relevant skills. (e.g. painting, carpentry, landscaping, etc.)
Please note any physical limitations you have? (e.g. no heavy lifting, allergies, etc.)
Please nominate someone who will not be participating at the Day of Hope.
Emergency Contact Name:
Emergency Contact Phone Number:
Place of Worship or Organization
Why are we asking this? One of our goals for this event is to construct work teams of diverse backgrounds (different faith or non-faith groups) so that folks can work together, have fun together and get to know one another.
Saint Elizabeth Roman Catholic Church
Downingtown Friends Meeting
Hari Om Mandir, Downingtown
Other (If your "home" organization or tradition background is not listed, please write it in the comments section below.)
Islamic Society of Chester County
YMCA of Lionville
Saint Paul’s UCC, Exton
Saint Matthew’s Lutheran Church
Beth Israel Congregation of Chester County
Saint Andrew’s Episcopal Church
COMMENTS: LET US KNOW IF ANY ADDITIONAL NEEDS OR INTERESTS
A copy of your responses will be emailed to the address you provided.
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