Volunteer Application for Sunday, May 15, 2022
Complete this form to let us know the time and spot you wish to volunteer for.
We will be conducting preventive vision screenings for children and adults.
This volunteer is open to anyone 12 years and older. Community service verification for this event can be provided after event ends.

NO EXPERIENCE NECESSARY - ENGLISH AND SPANISH SPEAKERS ARE WELCOME!

LOCATION: OLD TOWN MANASSAS, HARRIS PAVILION

For more information you may email Club President, Dr. Erika Laos, at lionerikalaos@gmail.com

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Email *
Last Name/Apellido
First Name/Nombre
Age/Edad (Minors must be accompanied by an adult parent or guardian upon arrival)/(Los menores deben estar acompañados por un padre o tutor adulto al llegar al evento)
Email
Mobile Phone Number
Choose the shift(s) you can help. You will receive an email within 24 hours confirming your participation. We look forward to having you, THANK YOU!
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A copy of your responses will be emailed to the address you provided.
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