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* 1. About You

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* 2. Are you a CLC YMCA member?

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* 3. Date of Birth (month/day/year)

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* 4. Are you 18 years of age or older?

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* 5. Mailing Address

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* 6. Phone Number

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* 8. Are you interested in volunteering as an individual or a group?

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* 9. First Name of Emergency Contact

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* 10. Last Name of Emergency Contact

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* 11. Phone Number of Emergency Contact

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* 12. Have you volunteered, or previously worked for the CLC YMCA before?

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* 13. I want to volunteer because I'm interested in (check all that apply):

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* 14. I'm interested in volunteering for the following CLC YMCA areas (check all that apply):

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* 15. I'm interested in (check all that apply):

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* 16. Are there any special skills that you or your group may be able to provide?

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* 17. Are there any limitations we should be aware of during your volunteer experience?

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* 18. Do you have any food or environmental allergies we should be aware of during your volunteering experience?

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* 19. Are there any days of the week or specific dates you are interested in volunteering?

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* 20. How did you hear about volunteer opportunities with the CLC YMCA?

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* 21. I authorize the CLC YMCA to use my photo or likeness in promotional or
informational materials, which may be distributed to the general public in print and digital media in order to highlight volunteer achievements.

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