Paige and Friends Helping Hands, Volunteer /Community Service Hours Program

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* 1. First and Last Name

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* 2. (FOR STUDENTS ONLY) What is your birthdate (some events such as the stadium require you to be at least 16 years of age.

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* 3. What school do you attend? (FOR STUDENTS ONLY)

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* 4. What is your cell phone number?

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* 5. What is your email address?

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* 6. Parent/emergency contact information (STUDENT ONLY)

Name

Address

Email Address

Phone Number

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* 7. Who is your school coordinator/teacher/advisor?

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* 8. What is your teacher's phone number/email address?

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* 9. -What dates are you available, choose 1 or more

SOCCER GAME-OCTOBER 10TH-FRIDAY

Dolphins VS. LOS ANGELES CHARGERS-SUN. OCT 12TH