AmeriCorps Russ Mawby Signature Service Project

Thank you for registering for the Northern Michigan AmeriCorps Russ Mawby Signature Service Project taking place on Friday, May 17, 2019 from 10AM to 3PM in Gaylord. Please fill in the information below by April 25, 2019 to ensure that you will receive an event t-shirt. Please list any dietary needs. If you have any questions about the event, please contact the Program Manager, Sarah Topp at 989-488-2293 x30 or sarah@huronpines.org. An email with day of details will be sent to the email you've provided a week prior to the event. 

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* 1. First name:

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* 2. Last name:

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* 3. Mailing address:

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* 4. Email address:

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* 5. Phone number:

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* 6. Are you affiliated with a business, organization or group? Please list that here.

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* 7. T-shirt size - AFTER 4/30/19 A T-SHIRT CANNOT BE GUARANTEED!!!

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* 8. Lunch Option (please choose 1): AFTER 5/6/19 A LUNCH CANNOT BE GUARANTEED!!!

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* 9. Please select your level of mobility:

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* 10. Please provide an emergency contact NAME and PHONE NUMBER.

After submitting this survey, don't forget to RSVP on the Facebook event page once you've finished registering! Thank you and we look forward to seeing you on May 17th at 10AM in Gaylord!

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