2023 Columbia Registration Form

2023 Columbia, MO Build Registration Form

Please complete the form below to register for the 2023 Blitz Build.
Volunteer's Full Name*

First NameLast Name
Badge Nickname
ONLY fill in if you would like something different than the First Name you provided above.
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Mobile Phone*
Format: (000) 000-0000.
E-mail*
Birth Year*
Year
MaleFemale
T-Shirt Size*
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone*
Format: (000) 000-0000.
YesNo
BHB Annual Dinner Meeting

The meeting will be held on the evening of Saturday, September 23rd.
YesNo
BeefChickenVegetarian
How many additional Annual Dinner Meeting tickets will you need? Each registration includes one ticket.*
Additional tickets are $38 each. This fee will be collected at checkin.
Worksite Role

House Lead, Crew Lead, General Volunteer, Non-Construction Support
Desired Role*
House LeadCrew Lead
What days will you build?

Note: Build Dates are Tuesday, September 19th through Thursday, September 28th. There will be an orientation meeting at the job site on Monday, September 18th for house and crew leads.
First Day You'll Build*

MonthDayYear
Date
Last Day You'll Build*

MonthDayYear
Date
Lodging

If you have a hotel rewards/loyalty number, please provide it to the hotel at check in.
YesNo
SharedPrivate (2x cost)
Roommate Preference
No guarantees, but we'll try our best.
Hotel Check-In*

MonthDayYear
Date
Hotel Check-Out*

MonthDayYear
Date
Comments
It is assumed that you will build all days between your selected first and last build dates. Please let us know if this is not the case, or if there are any other build day or lodging comments we should know about.
Transportation
FlyDrive
YesNo
YesNo
How many available seats will you have for people not in your immediate party?*
Personal Protection Equipment

PPE is required on the job site. This year safety harnesses are required to work on the roof. There will be a limited quantity of hard hats and harnesses supplied and it's strongly suggested that you bring your own.
YesNo
YesNo
Registration Fee*
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2023 Columbia Registration Fee (Required)$90.00
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2023 Columbia, MO Build Registration Form

BHB Annual Dinner Meeting

Worksite Role

What days will you build?

Lodging

Transportation

Personal Protection Equipment