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Community Service Day Registration Form

What is your name?

First Name:

Last Name:

What is your preferred T-Shirt size?

Size:

What is your email address?

Email:

Are you willing to drive yourself and team
members to your project location?

Yes or No:
Yes
No

Do you need a vegetarian boxed lunch?

Yes or No:
Yes
No

Rank three projects from 1-3.Number one should be your first choice.

Due to the large number of students needing to be placed, you may not receive your top choices but we will try to accomodate your requests as best we can.

Choice #1

Choice #2

Choice #3

Last modified: Jul 31, 2012

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Community Service Day Registration Form