Volunteer Registration Form

Where/How are you most interested in volunteering? Check all that apply

Clinic - clerical assistance
Clinic - medical support
Soup Kitchen
Homeless Shelter
Office Work - Basic
Computer Technical Assistance
Board Member
Maintenance
Assist with Fundraising
Christmas Cheer
Onslow Oktoberfest

First Name*

Last Name*

Best Phone Number*

Email Address*

Mailing Address

City

State

Zip

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