Volunteer & Community Service Day Nov 2

Please join us at the Volunteer & Community Service Day on November 2 to help prepare the BACI Campus renovation and development to serve our families and community better and impactful ways. Individuals, groups, or organizations are welcome. Each of the volunteers will be presented a T-Shirt as a gift.

Please give your name here:

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Volunteer Information

Volunteer's Full Name *

First

Last

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Email Address *

Phone Number *

Home Address *

Address Line 1

Address Line 2

City

AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

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Emergency Contact Name *

Emergency Contact Phone *

Physical Limitations or Health Concerns *

T-Shirt Size *

• Men's XS
• Women's XS
• Men's S
• Women's S
• Men's M
• Women's M
• Men's L
• Women's L
• Men's XL
• Women's XL
• Men's XXL
• Women's XXL

Authorization

Liability Waiver Agreement *

• I voluntarily participate in this community service event and agree to release and hold harmless the organizers, sponsors, and municipality from any liability for injuries or damages that may occur during my participation.

Photo Release Consent *

• I grant permission for photographs and videos taken of me during this community service event to be used for promotional purposes by the organizers without compensation or further approval.

Volunteer's Signature *

Clear Signature

Put your FULL NAME.

Date *

Submit

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