Breath of Life Walk Volunteer Application
Volunteer for the Breath of Life Walk and help us in the fight against lung disease. Fill in the information below and indicate what tasks you want to be involved in.
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First Name
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Last Name
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Address 1
Address 2
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City
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State
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Postal Code
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Home Phone
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Cell Phone
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Email Address
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How did you hear about us?
Past Participant/Volunteer
VolunteerMatch.org
Staff
Friend/Family
Website
Idealist.org
Other
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Have you previously done volunteer work for this organization?
Yes
No
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Gender
Male
Female
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Year of Birth:
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Will you be 18 years old by 10/10/2009?
(Under 18 must have parent permission)
Yes
No
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I am volunteering as an:
Individual
Group
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I am available to do the following tasks (check all that apply):
Set-up (7 a.m. - 8:30 a.m.)
Balloon Arch (7 a.m. - 8 a.m.)
Course Marking (8 a.m. - 10 a.m.)
Course Monitor (10 a.m. - 11:30 a.m.)
Clean Up Route (10:30 a.m. - 12:30 p.m.)
Breakdown (12 p.m. - 1 p.m.)
Waiver and Release of Liability
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I have read, understand and agree with the terms and conditions in the waiver and release of liability.
All waivers must be printed out and signed and either mailed, faxed, scanned and emailed or brought in person to event. Please call to verifty receipt.
Yes
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Indicates Response Required
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