| Name |
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| Church/Group |
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| Address |
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| Phone |
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| Cell Phone |
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| E-mail |
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| Group Leader |
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| Group Leader Contact |
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| Please let us know what part(s) of the Extreme Build schedule you will attend: |
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| Crews will be divided into morning and afternoon shifts. Please let us know which you prefer: |
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| If you will not be at the build the entire week, please let us know what days you will attend: |
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| Please check the day(s) of the work schedule you may be able to help with based on your skills |
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| T-Shirt size (choose one) |
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| First time Extreme Build volunteer? |
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| Can you help with - FIRST AID? |
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| Can you help with - TRANSPORTATION? |
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| Can you help with - FOOD/MEAL PREPARATION |
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| Image Verification |
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