Registration form for individuals or groups volunteering with the A-OK! Weekend - Syracuse, New York, September 11 and 12, 2010

1. Volunteer Registration
A-OK! Acts of Kindness Weekend - September 11-12, 2010
Please tell us how you would like to volunteer during Acts of Kindness Weekend.
Name:
Are you volunteering as an individual or as a member of an organization?
Choose one: 1. Single Volunteer:
2. Organization volunteer:
Organization you represent:
Email:
Phone: (W) (C) (H)
Dates(s) and times you would like to volunteer:
Saturday, 9/11/2010:
Sunday, 9/12/2010:
If you know a particular project, or projects you want to help with please name:
If you have no particular project in mind would you like to:
1. Work at one of the Hubs?
2. Work at a community garden, playground/park clean-up?
3. Help with children’s activities?
4. Help with food pantry donations?
5. Collecting diapers/clothing for refugees?
6. Join in a mentoring project for our youth?
7. Provide entertainment such as singing, drumming, playing an instrument?
8. Other?
Do you have a special talent or skill you think would contribute to A-OK?
Do you have any objection to being photographed, filmed or interviewed in association with
helping with Acts of Kindness Weekend?
Thank you for your information and your vision. Please return this form to one of the women listed
below and we will contact you personally.
Jennifer Roberts Crittenden (315) 633-2817, robertscrittenden@verizon.net
Daryl Files (315) 478-0508, darylteam1@att.net)
Gay Montague (315) 457-0734, graceofsummer@yahoo.com
Danya Wellmon (315) 446-7156, wellmond@msn.com
Betsy Wiggins (315) 446-1694, bwiggins@twcny.rr.com