1. Saturday 10/15/2022

Saturday October 15, 2022
8:00 AM -12:30 PM

Gathering at: 
Harborcreek Community Church: 8800 Buffalo Rd, Harborcreek, PA 16421 or Federated Church: 11995 Main St, East Springfield, PA 16411 - Please arrive early so that you can connect with your group.

Large Groups:
This form allows for groups of 9 or fewer. If you are signing up more than 9 you can complete the large group form here
Children need to be at least 7 years of age to serve.
 
We are accepting donations that will support Pfeiffer Burleigh Elementary School, an agency that we serve:
Tissues, Clorox wipes, coloring books, quart plastic bags, square plastic bags, sharpies, lined chart paper, pre-sharpened pencils, dry erase pocket sleeves, Crayola washable markers, folders.
 
If you would like to work with someone else or as a group, you must sign up on 1 form below. 
 
Questions with an * are required. 

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* 1. Your Information (email must be provided).

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* 3. What special skills do you have that you would like to use on Saturday?

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* 4. Do you have a pickup truck that you would be willing to use for this event?

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* 5. Some of our agencies require volunteers be vaccinated due to their clients having compromised immune system.  Are you willing to show proof of vaccination and serve at one of these agencies? If you are serving with a group, please ensure everyone is willing to do this prior to selecting "yes" below.  (If you select "no", we will assign you to an agency that does not require this.)

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* 6. I will be serving as an individual

It's important for us to have as much information about your group members (ages 7 and over) as possible so we can place your group at an appropriate site. Please complete the following information on each group member (including children over 6).

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* 7. Group Member 2

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* 8. What special skills does Group Member 2 have to use on Saturday?

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* 9. Group Member 3

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* 10. Group Member 4

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* 11. Group Member 5

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* 12. Group Member 6

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* 13. Group Member 7

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* 14. Group Member 8

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* 15. Group Member 9

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* 16. You will not receive a confirmation when you submit.  We will send you an email a few days before the event with more information.  If you have questions, you may email Michael at michael@serverie.com

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