Volunteer Application
1st Lumberton Juneteenth Celebration 2021 ~ Friday, June 18 & Saturday, June 19
We welcome you! Thank you for your interest in volunteering with the Lumberton Juneteenth Committee. Together we will support each other, build a community of unity and a better quality of black life.
Sign in to Google to save your progress. Learn more
Email *
Full Name (First and Last) *
Title: *
Complete mailing address (street, city, state & zip code): *
County: *
Primary phone number: *
Email: *
Age Range *
Friday, June 18 ~ Lumberton High School Event time 11am - 2pm  Select which time slot(s) you are available to volunteer?: *
Required
Saturday, June 19 ~ WH Knuckles HS Event time 10am - 4pm                   Select which time slot(s) you are available to volunteer?:
Clear selection
T-shirt size: *
Emergency Contact (Name, relationship, phone number): *
Agreement of understanding:
By submitting this form you agree and understand that the Lumberton Juneteenth Committee will not be responsible for any injuries and or mishaps (i.e. theft). You will be contacted via phone and or email with additional information regarding the day(s) you selected. We are looking forward to working with you.  
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms