HCC Disability Ministry Respite Night Registration Form - Volunteer

Name

Birthdate

This address will receive a confirmation email

Phone

Have you been trained in Disability Ministry?

Yes No

If so, when and where?

How did you hear about this Respite Night?

Please check all that apply: I have experience working with people affected by disability. I have served at a Respite Event in the past.

Description

Friday, January 25 | 6pm-8:30pm

WELCOME TO RESPITE NIGHT!
Please complete the form.
Volunteers - please be there at 5 pm - dinner will be provided.