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Tuesday, March 16, 2010
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So you can share your time, even if you
only have an hour or so to spare!

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Complete this short form below and you will be registered to volunteer with us. All information remains completely confidential, and each time you visit you can track your volunteering progress and get details about the shift(s) you've selected. Once you submit your registration, we'll e-mail you a welcome and letter of confirmation. The next time you visit, simply 'login' using the username and password you created - it's that easy!

We value your privacy! Your e-mail address is safe with us.

   First Name:    Last Name:   
   Organization:
   Address:   Addr 2 :  
   City:    State:    Zip:     
   Country:
   Email Address:
   Phone (Main):     Phone (Other/Cell):
   Username: *** Do Not Use Spaces. Use this login when you return (spaces omitted).
   Password: *** Do Not Use Spaces. Use this password when you return (spaces omitted).
   Minimum Age: I am 16 years of age or older. Birth Date: (mm/dd/yyyy)
   Past Volunteer: No Yes, I have previously volunteered with this organization.
 *You must be 16 or older to register to volunteer. If under age 16, please contact us.