Holiday Gift Wrap Volunteer Registration Form

Thank you for your interest in donating your time and talents to United Cerebral Palsy's Holiday Gift Wrap Stand at the Viewmont Mall this month.

Please complete the form below. Once we receive it, we will add your requested volunteer date and time to our volunteer schedule. If your requested date and/or time is not available, we will contact you.

If you have any questions, please contact Jackie Galvin, director of communications and development, at 570-347-3357 or j.galvin@ucpnepa.org.

Thank you very much for supporting UCP!
Contact Information
First Name*
Last Name*
Company/Organization/Group Name (if applicable)
Street Address Line 1*
Street Address Line 2
City*
State*
Zip Code*
E-mail*
Phone Number*
Volunteer Date(s) and Time(s) Selections

Some volunteer dates are filled, but several dates are still completely or partially open! The list below includes date and shift availability. Please review it and then select the date and shift you want to volunteer. If the time you select has already been filled, we will contact you.

Date and Shift Availability

Date	Noon to 4 p.m.	4 to 7 p.m.	7 p.m. to Mall Closing
Thurs., Dec. 8	Open	Open	Open (mall closes at 9 p.m.)
Fri., Dec. 9	Open	Open	Partially Filled (mall closes at 9)
Sat., Dec. 10	Filled	Filled	Partially Filled (mall closes at 9)
Sun., Dec. 11	Partially Filled	Filled	N/A (mall closes at 6 p.m.)
Mon., Dec. 12	Partially Filled	Filled	Filled
Tues., Dec. 13	Partially Filled	Partially Filled	Open (mall closes at 9 p.m.)
Wed., Dec. 14	Partially Filled	Filled	Open (mall closes at 9 p.m.)
Thurs., Dec. 15	Partially Filled	Partially Filled	Open (mall closes at 9 p.m.)
Fri., Dec. 16	Partially Filled	Partially Filled	Filled
Sat., Dec. 17	Filled	Filled	Filled
Sun., Dec. 18	Filled	Filled	Open (mall closes at 10 p.m.)
Mon., Dec. 19	Filled	Filled	Filled
Tues., Dec. 20	Filled	Partially Filled	Filled
Wed., Dec. 21	Partially Filled	Partially Filled	Open
Thurs., Dec. 22	Partially Filled	Open	Open
Fri., Dec. 23	Filled	Filled	Partially Filled
Sat., Dec. 24	Partially Filled (need help from noon to 3 p.m.)	Filled	N/A (mall closes at 6 p.m.)
UPDATED 12-19-22

I/We want to volunteer on the following day:*

MonthDay Year
Please select a volunteer date by clicking on the calendar icon.
I/We want to work the following shift(s):*

Noon to 4 p.m.4 to 7 p.m.7 p.m. to Mall Closing (10 p.m. at the latest)
Please enter the total number of people volunteering including yourself. If it is just you, please enter 1.*
I/We want to volunteer an additional day.

MonthDay Year
Please select a volunteer date by clicking on the calendar icon.
On my/our additional volunteer day, I/we want to work the following shift(s):

Noon to 4 p.m.4 to 7 p.m.7 p.m. to Mall Closing (10 p.m. at the latest)
On the additional volunteer day, please enter the total number of people volunteering including yourself. If it is just you, please enter 1.
Any Additional Information to Submit?
In the box below, please enter any additional information you want to add.
Should be Empty:

Contact Information