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* 1. Volunteer first and last name:

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* 2. Phone Number:

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* 3. E-mail address:

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* 4. Please indicate preferred Book Day venue. (Specific venue locations TBD)

  1st Choice 2nd Choice 3rd Choice 4th Choice 5th Choice
Bronx
Brooklyn
Manhattan
Staten Island (Ferry Terminal)
Queens

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* 5. Please indicate preferred shift start time. Please let us know if you can work more than one shift or are free to work the entire day.

  First Choice Second Choice Third Choice
7am-9:30am
9:15am-12:15pm
12:00pm-3:00pm

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* 6. Please choose a volunteer orientation session:

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* 7. Please list an emergency contact name and phone number:

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* 8. Do you have any allergies or health restrictions that we should be aware of? If yes please specify below.

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* 9. Do you have a preferred doctor or hospital?

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* 10. If you're not available to help on March 17 but still want to pitch in we'd love to have you come by the Center on any of the dates below. Please select any/all dates that work for you and indicate specific times in the field below.

Volunteer shifts will begin at 11am and end about 6pm with extended hours on the 11th and 13th. These shifts are also open to day-of volunteers as well. The more the merrier!

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