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Email *
First Name *
Last Name *
Phone Number *
Diocese *
If you are not a part of the dioceses above, please indicate your diocese here.
Church Name
What city and state is your church located in?
What is your age category?

One-day trips: Minimum age 16. (12 and up if accompanied by a parent or youth leader.)

Overnight Trips : Minimum age 18. (14 if accompanied by parent or guardian)*

*Background check required
*
Home Address Line 1 *
City *
State  *
Zip *
How do you want to get involved? *
Do you possess any special skills relevant to disaster relief, response, or rebuilding? (For example, are you an electrician or a plumber? Do you have a chainsaw? ect.)
Anything else you want us to know?
Want to register for someone else?
You will have the chance to submit this form for another volunteer after you click submit.
A copy of your responses will be emailed to the address you provided.
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