Free Dental Clinic
Thank you for your interest in volunteering for this Free Dental Clinic event on OCTOBER 22nd from 8am - 4pm.

Please fill out this form carefully and note that you will be requested to attend a mandatory training session on Sunday, October 16th from 4-5pm, and purchase a volunteer T-shirt.

If you have any questions, please contact Restoration Community Church at dentalclinic@restorationcom.org .
Please fill out ONE form per EACH volunteer in your household.

Indicate which shifts you are available to volunteer. Check all that apply.
Required
Indicate area(s) of interest where you feel you can lend support as a volunteer. Check all that apply.
Required
Do you anticipate needing childcare during the day of the clinic? If YES, please list name(s) and age(s) of child(ren) below. (Childcare is provided to volunteers for ages 12 and under)
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms