Volunteer-A-Thon 2014 Registration Form
Fill in the form below to volunteer with Student Open Circles on Saturday February 1st, 2014. Please drop off your $5 in MUSC 229 on Tuesday January 28 or Thursday January 30 (from 10:am to 4:30pm) to complete your registration. $5 registration fee will secure your spot at the event and will help cover the cost of providing lunch. *If you collect $20 in donations the fee will be returned to you*
Name
First Name
Last Name
Student Number
E-mail
Phone Number
-
Area Code
Phone Number
Which agency would you like to volunteer with: Sugar Charity, Boys and Girls Clubs of Hamilton or YMCA of Hamilton/Burlington/Brantford. Please note that each agency has a limited number of spots and these will be assigned on a first-come first-serve basis. If you do not have a preference towards any agency, please indicate 'Any'.
Do you have your own vehicle?
Yes
No
Will you be able to provide transportation to other volunteers on the day of the event?
Submit
Should be Empty: