2016 TMAD Project Form
TEENS MAKE A DIFFERENCE DAY- SATURDAY OCTOBER 29TH, 2016
PROJECTS TO BE COMPLETED: 9:00 a.m. -12:00 p.m.
FREE PIZZA LUNCH AND GIVE AWAYS: CENTRAL BOYS & GIRLS CLUB: 12:00 p.m. -1:00 p.m.

Forms Due By October 17th, 2016

Are you an organization, church, city administrator or business needing help with any painting, yard work, cleaning, picking up trash and so much more or just a senior living facility that would like some spirited teens to spend some time with the residents? Fill out the form and we will assign a teen group to your project.

Agency *
Business/Organization/Church Requesting help
Your answer
Contact Person *
Person to contact who's overseeing project
Your answer
Cell Phone # *
Must have contact person's cell phone number for Day of event in case of emergency purposes.
Your answer
Email Address *
Must have for updates on event information ( Nonprofit Center use only) Either main contacts email or someone from organization.
Your answer
Project Name & Description *
(project must be completed within 2 3/4 - 3 hours)
Your answer
Physical Location of project *
(Address or landmarks of location where teen group will be working on the day of the event)
Your answer
Estimated number of teens requested to complete project *
Just a guess-timation of around how many you may need to complete the project
Your answer
Special requirements if any *
(need to wear close toe shoes, must be over a certain age..... etc)
Your answer
SMALL: *
(HOW MANY TOTAL? IF NONE PUT 0) Calculate T-Shirt sizes for all project helpers from your own organization. All volunteers receive a free Teens Make a Difference Shirt (We will give anyone in your organization a Free T-shirt even if they can not assist on the day of)
Your answer
MEDIUM: *
(HOW MANY TOTAL? IF NONE PUT 0) Calculate T-Shirt sizes for all project helpers from your own organization. All volunteers receive a free Teens Make a Difference Shirt (We will give anyone in your organization a Free T-shirt even if they can not assist on the day of)
Your answer
LARGE: *
(HOW MANY TOTAL? IF NONE PUT 0) Calculate T-Shirt sizes for all project helpers from your own organization. All volunteers receive a free Teens Make a Difference Shirt (We will give anyone in your organization a Free T-shirt even if they can not assist on the day of)
Your answer
XL: *
(HOW MANY TOTAL? IF NONE PUT 0) Calculate T-Shirt sizes for all project helpers from your own organization. All volunteers receive a free Teens Make a Difference Shirt (We will give anyone in your organization a Free T-shirt even if they can not assist on the day of)
Your answer
2X-L: *
(HOW MANY TOTAL? IF NONE PUT 0) Calculate T-Shirt sizes for all project helpers from your own organization. All volunteers receive a free Teens Make a Difference Shirt (We will give anyone in your organization a Free T-shirt even if they can not assist on the day of)
Your answer
3X-L: *
(HOW MANY TOTAL? IF NONE PUT 0) Calculate T-Shirt sizes for all project helpers from your own organization. All volunteers receive a free Teens Make a Difference Shirt (We will give anyone in your organization a Free T-shirt even if they can not assist on the day of)
Your answer
4X-L: *
(HOW MANY TOTAL? IF NONE PUT 0) Calculate T-Shirt sizes for all project helpers from your own organization. All volunteers receive a free Teens Make a Difference Shirt (We will give anyone in your organization a Free T-shirt even if they can not assist on the day of)
Your answer
Comments/Other:
Your answer
Photo Release
***PHOTO RELEASE Attendance and/or participation in the program and event, “Teens Make a Difference”, grants The Nonprofit Center permission and release to record images of any person and use said imagery with or without an associated name in distribution for any lawful purpose, including, but not limited to, publicity, illustration, advertising and web content. Attendance and/or participation by any minor or person under guardianship is deemed sanctioned by parent/guardian of said participant or attendee and implicitly grants abovementioned release to The Nonprofit Center as well as indemnifies The Nonprofit Center, its board, staff, agents and volunteers against any and all recourse resulting from said attendance or participating activity.***
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