HH NextGen May Event
Join us at HH NextGen's Halloween Bash on Thursday, October 29th from 5:30PM - 7PM! If you are filling the form out for a Helping Hand Community Day Program Client, please ensure that they are independent in all ADL's. Clients should arrive at 5:30PM and leave at 7:00PM.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Today's Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
I will attend as a:
*
Please Select
HH NextGen Volunteer
Community Day Program Client
Attendance
*
Will you provide transportation?
*
Yes, I will drop off/pick up
No, I need Helping Hand to provide pick up/drop off
If you will NOT provide transportation, please list a pickup & drop off address for Helping Hand transportation.
Submit
Should be Empty: