Volunteer at The Diner

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* 1. On what date would you like to serve?

	Choose your date (sign ups are full for dates not listed)
Serving Date Options	Serving Date Options Choose your date (sign ups are full for dates not listed) menu

Other (please specify)

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* 2. How many people will be serving with you, including yourself? (Important Note: For groups larger than 10, please email diner@crossroads.net)

	1	2	3	4	5
Adults and Children ages 16+	Adults and Children ages 16+ 1	Adults and Children ages 16+ 2	Adults and Children ages 16+ 3	Adults and Children ages 16+ 4	Adults and Children ages 16+ 5
Children ages 9-15	Children ages 9-15 1	Children ages 9-15 2	Children ages 9-15 3	Children ages 9-15 4	Children ages 9-15 5
Children ages 6-8	Children ages 6-8 1	Children ages 6-8 2	Children ages 6-8 3	Children ages 6-8 4	Children ages 6-8 5

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* 3. What is your name?

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* 4. At what email address can we contact you?

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* 5. At what phone number can we contact you?

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* 6. At what Crossroads site do you regularly attend services?

East Side

Florence

Mason

Oakley

West Side

Uptown

Oxford

Crossroads Anywhere

I do not attend Crossroads