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2. Name*
4. Address*
6. City*
8. Telephone*
10. Email Address
12. Emergency Contact*
14. Special Skills/Interests
16. What days and hours would you be available?
18. Monday
19. Tuesday
20. Wednesday
21. Thursday
23. Friday
24. Saturday
26. Have you ever been convicted of a crime?*
    -- Select One --YesNo
28. I have read and understand the Volunteer Guidelines and agree to follow those guidelines (type full name)*
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30. 1. Receive an email copy of this form.
31. Email address

    This field is not part of the form submission.

32. Submit

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