Volunteers

Name *

First Name

Last Name

Phone *

(###)

###

####

Areas of Interest *

Kitchen Assistant

Flower Gardening

Maintenance & Grounds

Other (write in below)

Are you a physician? Check this box if you are and would like to hear about our physicians' program.

Yes

Availability *

During which Summer Weeks will you be available? Check all dates that apply -- you'll have a chance to indicate your top choice(s) below.

Week 1 | July 1 - 6

Week 2 | July 8 - 13

Week 3 | July 15 - 20

Week 4 | July 22 - 27

Week 5 | August 5 - 10

Week 6 | August 12 - 17

Week 7 | August 19 - 22

Week 8 | August 24 - 28

Would you be willing to sleep in a tent? *

Yes, I love camping!

Maybe, tell me more.

No, I'd prefer to sleep in a room.