Alternative Spring Break Sign Up
Please complete in addition to your registration with Habitat for Humanity. If you have questions about this form please email christinawest@email.arizona.edu or michaelj97@email.arizona.edu
Name *
Phone Number *
Email Address *
Emergency Contact Number *
What days will you be there? Check all that apply. *
Required
Do you have any food allergies? *
I understand that I will be doing physical activities, i.e. physical labor and going for a hike during the course of this trip. *
Please upload a screenshot of the confirmation page from Habitat for Humanity that you received when you signed up at https://www.cervistech.com/acts/console.php?console_id=0255&console_type=event&res_code=Newman&ht=1 *
Required
Please sign your initials agreeing that you will commit to show up for the days checked above. *
Submit
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