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WALK TO TALK Aphasia

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To register to volunteer, please fill out this form.  All fields are required. All information is held in the strictest confidence.
  • Saturday, 28, 2008
  • Registration starts at 9:45 am

First Name:

Last name:
 
Phone:

 
E-mail:

Be sure to check your email. We will send more info about your volunteer assignment.
Street Addr:

City:
    
State:
  Zip:
 Preferred Task(s):
 
We ask you to be flexible on your choice of activity and be patient with us if we have to move you to another task.
Any limitations we need to know about
while assigning volunteer assignments?
 
If you have any other limitations or disabilities, please describe here:
       
Comments?  Example: Do you have special abilities to contribute, or physical limitations that might limit your ability to do some volunteer tasks?

       
How did you hear about WALK TO TALK?  

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Volunteer opportunities?



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