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VOLUNTEER APPLICATION

Thank you for your interest in the 12th Annual Meadows Celebration! Please complete the following information.
Prior to the event, you will receive instructions for your volunteer assignment.
First Name

Last Name

______

Address

______

City

_______

State

E-mail Address

Zip____________ Phone Number ____________


Birth Year

(Must be at least 16 years of age to volunteer)

Shirt Size (circle one):


Adult S

Adult M

Adult L

Adult XL

Adult XXL

Other

(Please fill in size)

Timeframe Available (event is Friday, July 15, shifts run from 5 p.m. 11 p.m.)
(You will be scheduled for a 2-hour shift.)
Emergency Contact

Emergency Contact Phone

Allergies
Health Issues or Physical Limitations

Signature of Volunteer

_________

_
__________
_
Signature of parent or guardian if volunteer is under 18

Date
Date

Return application to: Meadows Celebration Committee, Attn: Laurie Kulhanek, 1401 W. Herbison Rd.
DeWitt, MI 48820. For questions, contact Laurie at 517-668-0270 or lkulhanek@dewitttwp.org.

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