Date: 12/26 (Tue) - 12/28 (Thu)

Time: 8:30 AM - 3:30 PM

Location: Somahng Presbyterian Church // 451 Grand Ave Palisades Park NJ

*Fees include Snack, Lunch, and a T-Shirt.

*Total of 21 Hours + Training Hours will be given

Volunteer Name

First Name

Last Name

Phone # / Parent Phone #

(###)

###

####

T-Shirt Size

Name of Your School

Please write down the name of your school in order to give proper volunteer credit

Select the days you are available :

Tuesday, 12/26

Wednesday 12/27

Thursday 12/28