Volunteer Information Sheet
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Start Date: 
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DD
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YYYY
First & Last Name: *
Birth Date: *
MM
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DD
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YYYY
Street Address: *
City: *
Zip Code:  *
Cell Phone: *
Email Address: *
Church/Organization Name: *
Pastor/Contact: *
Emergency Contact Name: *
Emergency Contact Relationship to you: *
Emergency Contact Phone Number: *
Please list any important medical information we need to know in case of an emergency: *
Typing my name below, I consent to the Lawrenceville Co-Op to use any photos of me for internal use and/or commercial use such as an "About" page on the website or for marketing purposes. 

**** If you are a client, you are welcome to volunteer with us. However, you cannot volunteer and get food on the same day. 
*
By initialing below, I agree to complete the liability release form upon arrival.  *
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