I
Volunteer! Day Serve-A-Thon
Saturday, April 17, 2010 - Family Registration
Red fields are required.
Any questions? Call 303.444.4904 or email [email protected]
Registration Deadline Sunday, April
11, 2010
Serve-A-Thon & Pledge Details
Volunteers (age 18 and older) are asked to make a minimum pledge of $20
per participant to participate in I Volunteer! Day.
Obtain your pledge by inviting others to sponsor
your four-hour Serve-a-Thon (similar to a Bike-a-Thon or a Walk-a-Thon). Sponsors
may include friends, family members, teachers/professors, co-workers,
business connections, fellow congregants, and/or anyone else in your
"sphere of influence." Pledges
made in support of your four hours of service will help support Volunteer
Connection's year-round efforts to connect community members with community
needs. Prizes will be awarded to those raising the most pledges. Download
pledge form. |
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Family Name:
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| Your Contact Information: |
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First Name:
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Middle Initial:
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Last Name:
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Street Address:
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City:
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Zip Code:
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Email Address:
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Your T-Shirt Size: |
S
M
L
XL
XXL
XXXL |
| Would
you like to receive our
monthly e-bulletin of volunteer opportunities? |
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Yes
No
Already subscribe |
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Preferred Contact Method: | Phone E-mail
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Preferred Contact Phone Number:
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Preferred Number Is:
| Home Work Cell |
Additional Participating Family Members:
Please provide participating family member information including name(s), age(s), t-shirt size(s). |
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Name:
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Age:
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T-Shirt Size:
| S M L XL XXL
XXXL |
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Name:
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Age:
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T-Shirt Size:
| S M L XL XXL
XXXL |
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Name: |
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Age: |
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T-Shirt Size: |
S M L XL XXL
XXXL |
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Name: |
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Age: |
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T-Shirt Size: |
S M L XL XXL
XXXL |
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Name: |
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Age: |
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T-Shirt Size: |
S M L XL XXL
XXXL |
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Project Selection:
Please read through the available
projects and
select your top 2 project choices by agency name. We will
make every effort to place you in one of your top two selections. If we are
unable to meet your request, we will contact you to discuss options. Once
we finalize project assignments in early April, we will contact you with
additional information. |
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First
Choice Agency Name: |
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Second
Choice Agency Name: |
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Or:
| Please place us where we are most needed. |
| We will do our best to accommodate any physical challenges or special needs your group may require. Do you or anyone in your family have any special considerations that we should know about? |
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General Comments:
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| How did you hear about I Volunteer! Day: |
Volunteer Connection Website
Another agency
The Camera
Other Newspaper
Employer
Religious Organization
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Habitat for Humanity
Volunteer Connection Monthly e-bulletin
Friend or Parent
School
Other |
If Other, please describe: |
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Your Optional Demographic Information:
Many financial grantors request information concerning the diversity of people that the Volunteer Connection engages in volunteer activities; providing demographic statistics may increase the success of our grant writing so we strongly encourage you to provide this information. This information is strictly confidential and will be used only for reporting purposes. |
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Gender:
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Male Female Transgender |
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Age:
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Race:
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Education:
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Income: |
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Sexual Orientation:
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