Registration Form Volunteer Information Name   Organization   Address  



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Public Power Day of Giving

June 10, 2016  Phoenix, Ariz.

Volunteer Registration Form

Volunteer Information
Name            
Organization      
Address      

City       State       Zip      

Telephone       E-mail      

Emergency Contact
Name       Relationship      
Telephone      

Guests

Guests are welcome to participate in the Public Power Day of Giving. Guests can volunteer for the Day of Giving even if they do not register as guests for the National Conference. Volunteers under 18 must be accompanied by a parent or legal guardian.


Name       Age (if under 18)      
Name       Age (if under 18)      
Name       Age (if under 18)      
Name       Age (if under 18)      
Name       Age (if under 18)      


T-Shirts

Each volunteer will receive a Public Power Day of Giving commemorative t-shirt (all shirts men’s sizes). If you are volunteering with guests, please tell us how many shirts in each size.


      S       M       L       XL
      2XL       3XL       4XL       Youth (M)


Lunches


Box lunches will be provided for all volunteers. Please list any dietary restrictions or food allergies.
If you are volunteering with guests, indicate how many
have these restrictions.


     
Project Preference


If you have a preference as to which project you would like to work at, please let us know and we will try to accommodate your request.


Preference-based assignments will be made on a first-come, first-served basis. Some projects may have restrictions on the age of volunteers. Volunteers and guests will be placed at the same project location, unless specifically requested otherwise.
 Sunshine Acres Children’s Home
 Tumbleweed
 No preference; please put me where I am most needed.
Feed My Starving Children is currently full.
Comments:

     



Return this form no later than Friday, May 20:

E-mail: AMejia@PublicPower.org Be sure to save your changes to this form before e-mailing.
Fax:
202/495-7501

Mail to: Ana Mejia, APPA, 2451 Crystal Dr., Suite 1000, Arlington, VA 22202-4804.
Questions: Ana Mejia, 202/467-2976 or AMejia@PublicPower.org

LeAnne Sinclair, 202/467-2973 or LSinclair@PublicPower.org.




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