Unikidsdical

Unikids Inc.

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Volunteer

Volunteer Information

First Name *

Last Name *

Email Address *

Address

City *

State

Postal Code

Emergency Contact Phone Number. *

Do you have any limitations you wish us to know about?

Please list any times that you are unable to volunteer::

School Information

Elementary School (K-5) Middle school (6-8) High School (9- 12) ( unselect )

VOLUNTEER INTERESTS

Collect school supplies	Sort School supply	Pack school Supply
Special Events	Whatever is needed	Other

REFERRAL How did you hear about us?

YMCA Member

Friends/Family

School Community

If you are volunteering for credit for a school, business or organization, or if you are volunteering on behalf of an organization, what is the name of the organization?:

Why would you like to volunteer with the Unikids?:

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