Juneteenth 2023 Volunteer Registration Form
Website: juneteenthcelebrationnyc.org      Email: juneteenthcelebrationnyc@gmail.com

Street Fair: 116th Street between Malcolm X Blvd (Lenox Ave) & 5th Avenue
Date: June 17th, 2023
Time: 11am to 5pm

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Name *
Select the area you would like to volunteer
What is your availability? *
Write in the time you will be available:
Email *
Street Address *
City, State, Zip *
Phone Number *
Please complete this form ASAP For more information, please contact Mr. Ade A. Rasul at (212) 662-2200/01 *
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