subject_line
Care & Support
Volunteer Registration to Serve
Your Information:
First Name
*
Last Name
*
Email address:
*
Cell Phone Number
*
Age
*
Under 18
18 - 21
21 +
Options
Include me in opportunities to provide meals to people in the Capital community.
*
Yes
No
Other
Other
Include me in opportunities to go on home or hospital visits (Note: all members of the visits team will receive simple training as well as a do's & don'ts document).
*
Yes
No
Other
Other
Please add me to the Capital Care & Support email distribution list so I will receive notifications about future Care & Support offerings and events.
*
Yes
No
Additional comments:
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