EmailMe Form - 2012 Veterans Independence Day Celebration

Name *
Prefix First Last Suffix
Email *
Phone
### - ### - ####
Mailing Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Select your shifts. Pick as many as you like. Please be sure you can complete the shift. *
Tuesday, July 3rd, 12p-5p
Wednesday, July 4th, 7a-11a
Wednesday, July 4th, 11a-3p
Wednesday, July 4th, 1p-5p

Select all that apply.
Select Duty preference: *
Kitchen (cooking)
Serving
Entertainment
Childcare area

Select all that apply.
Special needs, comments, questions??
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