Walk2013volunteerflyer%20application
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6:30 a.m. -1:30 p.m. at Monclova Elementary School 8035 Monclova Road Please fill out the information below. Each volunteer will receive a FREE t-shirt. Thanks! volunteer on SEPTEMBER 7, 2013
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Transcript of Walk2013volunteerflyer%20application
6:30 a.m. -1:30 p.m. at Monclova Elementary School8035 Monclova Road
Please fill out the information below. Each volunteer will receive a FREE t-shirt. Thanks!
volunteer on SEPTEMBER 7, 2013
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Volunteer name:
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Date of Birth:
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Address:
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Phone number:
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T-shirt size:
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E-mail address:
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Emergency contact:
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Volunteering as:
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Volunteer for:
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Please e-mail completed registration to:
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If you have any questions please contact: Rania Haynes 419-794-1369 or previous email.
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* Please send in forms by AUGUST 16th to guarantee your shirt.
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I waive the right to hold Sunshine Inc. of Northwest Ohio, Sunshine Foundation, Inc., Monclova Township or any sponsors or individuals associated with this event responsible for any and all injuries, loss or theft that may occur to me or my vehicle while participating in any events related to the Walk, 5K Run & Roll on Saturday, September 7, 2013. I attest that I am physically able to participate in this event. I acknowledge that I have read and fully understand my own liability and do accept these restrictions.
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Emergency phone number:
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Group Group name:
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YM
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YL
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S
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M
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XL
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XXL
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XXXL
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L
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City, State, zip
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Electronic signature will be considered an official and legal signature.
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YS
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Individual
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Entire Shift
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1st Shift
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2nd Shift
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(Parent or guardian if under 18)
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X
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Will you require any type of personal health/physical accommodations? No Yes Explain:
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Assignment preference: Parking Registration (18yrs & older) 5K Assignments Walk Route Assignments Companion on Walk Children's Area
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(*Assignment will be determined 1st by shift available, 2nd by assignment preference.)
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