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* 1. How are you looking to assist with the Survivor's Gathering?

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* 2. How do you identify?

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* 3. First and Last Name

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* 4. Email

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* 5. Phone Number

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* 6. I would like to offer my assistance for the following dates. Please check all that apply.

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* 7. What type of activities are you interested in volunteering for (ex. event staff, parking, health supports, assisting elders, set up, clean up, registration table etc.)?

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* 8. What type of assistant are your looking to contribute outside of volunteering (ex. I would like to sponsor a meal, I would like to provide an activity, I would like to perform etc.)?

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* 9. Additional comments or questions.
For more information please contact info@survivorssecretariat.ca

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