LoveOne Co-op Shower Event Form
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Email
*
Your email
Name (first and last):
*
Your answer
Event date:
*
MM
/
DD
/
YYYY
Location:
*
Milner Veterinary Hospital
GracePointe
Other:
Number of volunteers (best estimate):
*
Your answer
Number of showers:
*
Your answer
Number of neighbors served that came for resources only
Your answer
Race and ethnicity of neighbors served (select all that apply, if known):
Latino/a
Caucasian
Black/African American
American Indian/Alaska Native
Asian and Pacific Islander
Other:
Age range of neighbors (best estimate):
Your answer
Number of Veterans served, if known:
Your answer
Donations received at event (cash, resource table items, etc.) -- Breakdown in possible.
Your answer
Total estimated dollar value of donated items (For food /lunches please use $12 per head)
Your answer
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