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2022 Night for Life Volunteer Registration
REGISTRATION TO VOLUNTEER FOR THIS EVENT IS CLOSED.
IF YOU WOULD LIKE TO RECEIVE A NOTICE ABOUT FUTURE VOLUNTEERING OPPORTUNITIES, PLEASE EMAIL US AT VOLUNTEERS@PIEDMONTWOMENSCENTER.ORG.
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Email
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Name (First & Last)
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Age
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Cell Phone #
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Where do you attend church? (Church, City, State)
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Do you have any physical limitations you would like us to consider? If yes, please explain.
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Please read the following Release and Waiver of Liability form then check the box below if you agree to the waiver as set forth by Piedmont Women's Center.
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