Alternative Spring Break Sign Up
Please Complete by Feb 19th. If you have questions about this form please email
Emergency Contact Number
What days will you be there? Check all that apply.
Monday, March 5
Tuesday, March 6
Wednesday, March 7
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
Please sign your initials agreeing that you will commit to show up for the days checked above.
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