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* 1. Full Name:

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* 2. Cell Phone Number:

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* 3. Email Address:

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* 4. Emergency Contact Name

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* 5. Emergency Contact Phone Number:

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* 6. Are you a student needing volunteer service hours? (Yes/No)

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* 7. Do you have any physical limitations or accommodations needed?

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* 8. Volunteer Shift Selection (Select all that apply)

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* 9. Waiver & Release Agreement (please check ALL)

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* 10. I have read and agree to the terms above. (Required)

After submitting this form, you will receive an email with your assigned shift(s) and event details. For any questions, contact Susan Kraut at skraut@effinghamcouty.com