Drug Take Back Day Sign up
Saturday April 27th from 9-1pm
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
What position would you like to volunteer for?
Traffic Control - directs participants to appropriate line/location
Questionnaires - completes short questionnaire for participant
Runner - receives medication from participant and brings to the sorting area
Sorter - removes cardboard/paper and lids from medication bottles
Which location would you like to volunteer at?
Kenosha County Center 19600 75th St Bristol
Kenosha County Job Center 8600 Sheridan Rd Kenosha
What time are you available to volunteer?
8:30-11:00am
10:30-1:00pm
Other
Submit
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