19 SSS Adult Volunteer/Facilitator Commitment
Thank you for signing up to volunteer or facilitate at the January 22, 2019 Speak Up Stand Up Save A Life Conference. To confirm your sign up, we need to gather more information from you below. Please fill out accordingly. If you have any questions of concerns please contact Kristi Reimer at
Cell Phone Number
Day of Contact #
Date of Birth
Needed for Security/Background Check of All Volunteers
Previous Background Check and/or Fingerprint Clearance
Day Of Event Commitment
Outside Volunteer Team (80 needed)
Inside Volunteer Team (80 needed)
Misc. Needs Volunteer (80 needed)
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