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First Name
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Last Name
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Name of Company / School / Organization (if applicable)
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Phone Number
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Email Address
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Date of Birth
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I would like to volunteer for the following (check all that apply)
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Volunteer Internship
Keep Gert Town Safe Area Captain
Community fridge stocking / restocking
Hot meal distributions
#504HungerTAKEOVER Summit
Urban Roots Farming and Cooking Program
Youth StartUP Program
HEALTHY504 Program
BOO!DAT504 Halloween Extravaganza (October 24th)
BOO!DAT504 House of Screams (October 31st)
WinterFest504 Christmas Parade and Giveaway (December 12th)
Other:
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Please list and special skills / qualifications you feel could be helpful (optional)
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Anything else you would like us to know? Or anything you need us to know?
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Child Safety Certification
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By checking this box and typing my name in the box below I certify that I have no legal, moral, ethical, or personal reasons/limitations that prevent you from interacting with minors
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Type your full first and last name as your digital signature attesting to the fact that you have no legal, moral, ethical, or personal reasons/limitations that prevent you from interacting with minors
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