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House Calls
House Calls Registration Form
Please register below for the 2015 House Calls program. Please direct questions, concerns, comments, or suggestions to
Karla Rusch
at (828)262-8284.
*
First Name:
*
Last Name:
Email Address:
(username@domain.com)
Confirm your email address:
Cell Phone Number (if applicable):
*Note: This may be used the day of the event to stay in touch.
*
T-Shirt Size:
(Select One)
Extra Small
Small
Medium
Large
XL
XXL
XXXL
If you would like to be partnered with a particular person or persons, please include their name(s) below:
Would you be willing to be an Area Leader? Area Leaders bring the boxes to the off-campus meeting area and distribute them to the other volunteers).
(Select One)
Yes
No
If you have any special needs or concerns, please indicate them below.
(Example: I have a knee injury and need to be assigned to a level area that does not require climbing stairs)
If you have any dietary restrictions please list them below:
(Example: I am a vegetarian)
Parents and Student Feedback
Reflections from Previous Volunteers
Login and register