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Penn-West Philadelphia Community Partnership Celebration Day
at the Sayre School (58th and Walnut Streets)

Saturday, October 9, 2004

Volunteer Registration Form
Thank you for your interest participating as a volunteer for the Penn-West Philadelphia Community Partnership Celebration! In order to help us in planning an enjoyable and successful event, please complete all of the fields below:

Last Name: *  First Name: *

Salutation: *   If other, please specify:

Email address: *

Phone Number:*
Please check the box next to the number where you can be contacted on the day of the event.



Constituency:  If other, please specify:

Times available to volunteer: (please check all that apply)

Friday, October 8th

3:30 – 8:30 pm

Saturday, October 9th
  8:30 – 11:00 am
10:00 am – 1 pm
12:00 noon - 3:00 pm

There are several roles for volunteers to play. While we cannot guarantee a particular placement, please let us know if you have a preference for playing one or more of these roles.

Information/Direction (helping people to find particular activities)
Physical Improvement (mainly involving painting, cleaning, etc.)
I have no preference

Would you like to partner with a Sayre School student during the project?

Special Skills
While no special skills are required for volunteers to participate in the day, please check below if you do have any skills that might help us in the project.


If other, please specifiy:

Some roles may require physical activity (light lifting, sweeping, etc.). Please let us know if there are activities in which you should not be participating.


I would like to take the Penn Bus from campus to the Sayre School
I will get to the Sayre School on my own

Waiver Agreement *

I accept    I do not accept


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