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 in December.

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

The volunteer dates and shift availability are listed in the chart below. 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	1 to 4 p.m.	4 to 7 p.m.	7 to 9 p.m.
Thurs., Dec. 12	Two Openings	Two Openings	The stand will not be open.
Fri., Dec. 13	Open	Filled	The stand will not be open.
Sat., Dec. 14	Filled	Filled	The stand will not be open.
Sun., Dec. 15	Filled	Filled	The stand will not be open.
Mon., Dec. 16	Filled	Filled	The stand will not be open.
Tues., Dec. 17	Filled	Filled	The stand will not be open.
Wed., Dec. 18	Two Openings	Open	The stand will not be open.
Thurs., Dec. 19	Open	Open	Filled
Fri., Dec. 20	One Opening	Filled	Filled
Sat., Dec. 21	Filled	Filled	Two Openings
Sun., Dec. 22	Filled	Filled	Filled
Mon., Dec. 23	Two Openings	Filled	Filled
Christmas Eve ~ Tuesday, Dec. 24 ~ Special Hours
	9 a.m. to Noon	Noon to 3 p.m.	3 to 6 p.m.
	Filled	Open	One Opening

UPDATED 11-18-24

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

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

1 to 4 p.m.4 to 7 p.m.7 p.m. to 9 p.m. (only available Dec. 19 to Dec. 23)
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.

MonthDayYear
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):

1 to 4 p.m.4 to 7 p.m.7 p.m. to 9 p.m. (only available Dec. 19 to Dec. 23)
On the additional volunteer day, please enter the total number of people volunteering including yourself. If it is just you, please enter 1.
I/We want to help even more people and volunteer our time on Christmas Eve on the following shift(s):

9 a.m. to NoonNoon to 3 p.m.3 to 6 p.m.
Please enter the total number of people volunteering on Christmas Eve 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