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Volunteer Registration
*Type of Volunteer:    Adult Volunteer
   Student Helper (Completed 6h-12th grade as of June 2024)
   Staff Volunteer  (circle one)
Student Helper Grade Completed:  __________________________________
*Member:    Y   N  (circle one)
*First Name:  __________________________________
*Last Name:  __________________________________
*Preferred Name for Name Tag:  __________________________________
*Address:  __________________________________
*City:  __________________________________
*State:  __________________________________
*Zip:  __________________________________
*Primary Phone:  (______)______-________
*Alternate Phone:  (______)______-________
*Email:  __________________________________
*Gender:  Male  Female  (circle one)
*Birthday:  __________________________________
*Please indicate an Age Preference:    Kids (Grades 1-5)
   Preschool
   Special Friends  (circle one)
How would you like to serve?:  __________________________________
*Would you like to serve at St. Mary's?:    Y   N  (circle one)
*Do you have kids birth - 5 year old attending?:    Y   N  (circle one)
Names and birthdates of Preschoolers attending:
Comments:
* Required