Life Size Connect 4 🔴

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Get ready for an epic evening of giant Connect 4! Our residents get competitive, so get ready to win.

이메일 *

응답과 함께 이메일 주소 기록

Your Role 🫣

You'll be tasked with playing life-size board games with residents! Some of our residents need help with the rules, instructions, moving pieces, etc. Please help them play the game! Bring your friends and make it a group activity, the more people playing the more competitive it gets - the funner it is!

You're getting service hours for talking with the residents and taking a genuine interest in their life, make this event worth your time and their time!

What is your first and last name? 👀 *

What's your email? 💌
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What's your parents email? 🤨
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What High School do you attend? 🏡
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Centreville High School

Westfield High School

St. Paul VI Catholic High School

Thomas Jefferson High School for Science and Technology

South Lakes High School

Fairfax High School

Herndon High School

Chantilly High School

Woodgrove High School

Stone Bridge High School

Heritage High School

Park View High School

Lightridge High School

Loudoun High School

Loudoun County HS

Woodgrove High School & Academies of Loudoun

Oakton High School

John R. Lewis High School

I'm not in High School

What grade are you in? ✏️
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9th

10th

11th

12th

I'm not a student

Our Connect 4 event will be held on Tuesday May 14th from 5:45 pm - 7:00 pm. Will you be able to make it? 💚
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Yes

This event will be held at Gainesville Health and Rehab Center. Will you have your own transportation? 🚗

Address: 7501 Heritage Village Plaza, Gainesville, VA 20155
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Yes (I can drive, my parent(s) can drive me, my friend(s) can drive me)

No, I will not have a ride

In order to volunteer you must have a parent or guardian sign our Waiver Agreement. Please acknowledge that you understand you must get a parent to sign our Waiver Agreement and will either send it to us electronically or hand it to us signed at the beginning of the event.

You will receive this PDF via email after you submit this form. Expect to see this email in the next 24 hours.
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Yes I understand! I will have my parent sign it!

I'm 18 and can sign myself.

No, I do not wish to participate in this event.

I understand that if I am a returning HerraHelper and have submitted my waiver form in the past, I don't need to do it again.
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Yes! I submitted my form in past events.

No, this is my first event.

I understand that If I'm a new member, and haven't turned in my waiver then my hours won't be verified.
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Yes

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