Individual Registration Form

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INDIVIDUAL REGISTRATION FORM
P L E A S E P R I N T
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Today’s Date____________
Adult
Youth
Name_______________________________________
please continue if you are new or if you are a returning volunteer and need to update our records
Total Hours Volunteering Today:___________Hours
Home Address________________________________
City__________________ State_______ Zip_______
Home Phone (______)__________________________
E-mail ______________________________________
(include email address ONLY if you would like to receive our e-newsletter)
T H A N K Y O U

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