VOLUNTEER GROUP REGISTRATION
TEAM LEADER NAME
*
First Name
Last Name
EMAIL:
*
example@example.com
PHONE NUMBER:
*
Please enter a valid phone number.
GROUP NAME
GROUP MAILING ADDRESS
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
VOLUNTEER CAMP SERVING
Please Select
PARADISE
HAPPY CAMP
IMMEDIATE RESPONSE SERVING
Please Select
SANTA CRUZ
MERCED
SAN JOAQUIN
SONOMA
BUTTE
HUMBOLDT
FRESNO
NUMBER OF VOLUNTEERS IN GROUP
DATE REQUESTING
-
Month
-
Day
Year
Choose the Sunday starting the week you would like to serve
ARE YOU BRINGING VOLUNTEERS UNDER 18?
YES
NO
ANY SPECIAL ACCOMMODATIONS OR CONCERNS?
Submit
Should be Empty: