Passover 2017 Drive Volunteer Sign up Form

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For anyone interested in volunteering on Sunday April 2 from 9:00-11:30 AM at the Jewish Home and Care Center

First name of primary contact *

Last name *

Phone

It is best to reach me by... *

phone

text message

Other:

How many people will be volunteering in total (including yourself)

Are any volunteers under 18 yr old?

Yes

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If yes, how many and what are their ages (at least 11 yr old please)?

I am connected to the following Organization(s):

Congregation Anshai Lebowitz

Congregation Sinai

Congregation Beth Israel Ner Tamid

Congregation Emanu-El B'ne Jeshurun

Congregation Shalom

Lake Park Synagogue

Temple Menorah

Jewish Community Center

Hillel Milwaukee

BBYO

Other:

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How did you hear about volunteering for the Community-wide Passover drive?

I, the undersigned, hereby give the partners of the Community-Wide Passover Drive permission to take or obtain pictures and videos of me and create images of my likeness, poses, acts, appearances or the sound records of my voice in any medium (collectively the “Images”).

Signed by:

Date

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