IAC - Day of Hope May 4, 2019
Email address is: IACofNCC@gmail.com
Email address *
Family Last Name *
Your answer
How many adults (age 18 or over)? *
Enter FIRST name(s) of adults separated by a comma (,) *
Your answer
Number of children participating? (under 18 years of age) *
Enter the age of each child - separated by a comma (,)
Your answer
Phone Numbers
We require at least one phone number. You may write "N/A" if you have only one phone number.
Home Phone Number *
Your answer
Cell Phone Number *
Your answer
Please identify any relevant skills. (e.g. painting, carpentry, landscaping, etc.)
Your answer
Please note any physical limitations you have? (e.g. no heavy lifting, allergies, etc.)
Your answer
Emergency Contact
Please nominate someone who will not be participating at the Day of Hope.
Emergency Contact Name: *
Your answer
Emergency Contact Phone Number: *
Your answer
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.
COMMENTS: LET US KNOW IF ANY ADDITIONAL NEEDS OR INTERESTS
Your answer
A copy of your responses will be emailed to the address you provided.
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