PM Pals 2/07
Volunteers for this event will play with kids with exceptionalities for the evening. If you have any questions, please email me at mvpce@uh.edu. http://www.stlukesmethodist.org/safe-sanctuary/
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First Name *
Last Name *
Preferred Email *
UH Email *
PeopleSoft ID *
Phone Number (Cell Preferred ) *
Emergency Contact Name *
Emergency Contact Relationship *
Emergency Contact Phone Number *
Are you willing to PROVIDE carpool ? *
Will you NEED carpool to the site of the event ? *
Do you have any special needs or accommodations? If so, please specify.
If you are volunteering to get hours for other organizations, please list the name of that organization.
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