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SHCC Youth Volunteer Registration Form
Please complete this form to be entered into our youth volunteer database. We will reach out to this list as volunteer opportunities arise. Note: certain times of the year are busier then others. Please contact Cathy Huda at
chuda@sterlinghousecc.org
with any questions.
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Email Address:
*
Your answer
Date of Birth:
*
MM
/
DD
/
YYYY
First name:
*
Your answer
Last name:
*
Your answer
What are your preferred pronouns?
she/her
he/him
they/them
Other:
Street Address:
*
Your answer
Emergency Contact Name:
*
Your answer
Emergency Contact Relationship to you:
*
Your answer
Emergency Contact Phone Number:
*
Your answer
School Attending:
*
Your answer
Current Grade
*
9th
10th
11th
12th
Other:
How did you hear about Sterling House's Volunteer Program?
*
Your answer
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