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YES, I am interested in helping at the “16th Annual Walk for the Animals” on Sunday, September 18, 2011 at Northeast Delta Dental in Concord.

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* 1. Please tell us who you are:

Name:

Email Address:

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* 2. What is the best phone number to reach you?

Home

Cell

Work

Number:

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* 3. Is there a secondary phone number?

Home

Cell

Work

Number:

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* 4. Are you currently a Concord Merrimack County SPCA volunteer?

Yes

NOTE: If you are NOT currently a Concord Merrimack County SPCA volunteer, you MUST complete and return the volunteer application on our website, by September 1st.

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* 5. What time(s) are you available to help?

Morning (7:30am-10am)

Mid-day (9:45am-12:15pm)

Afternoon (noon-2:30pm)

All day

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* 6. Which task(s) are you most interested in helping with? We will attempt to match you with your chosen task.

	Yes	No
1 Mile Trail leader	1 Mile Trail leader Yes	1 Mile Trail leader No
3 Mile Trail leader	3 Mile Trail leader Yes	3 Mile Trail leader No
Break down	Break down Yes	Break down No
Contest judge	Contest judge Yes	Contest judge No
Contest table	Contest table Yes	Contest table No
Food table	Food table Yes	Food table No
Kids Korner	Kids Korner Yes	Kids Korner No
Parking	Parking Yes	Parking No
Raffle table	Raffle table Yes	Raffle table No
Registration table	Registration table Yes	Registration table No
Set Up	Set Up Yes	Set Up No
SPCA table	SPCA table Yes	SPCA table No
Water tables (set-up, assistance & break-down)	Water tables (set-up, assistance & break-down) Yes	Water tables (set-up, assistance & break-down) No

Specific request:

Volunteer Sign-up

Question Title

* 1. Please tell us who you are:

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* 2. What is the best phone number to reach you?

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* 3. Is there a secondary phone number?

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* 4. Are you currently a Concord Merrimack County SPCA volunteer?

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* 5. What time(s) are you available to help?

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* 6. Which task(s) are you most interested in helping with? We will attempt to match you with your chosen task.

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* 7. Comments/Notes: