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Volunteer Sign-up

Thank you for completing the following information.
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First Name: *
Last Name: *  
E-mail address: *
Day Phone: *
Cell Phone:
Street Address:
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I would like to help with education and advocacy*  
Are you a medical volunteer (this includes blood draw)? *
Do you speak any languages other than English?
I am volunteering as a part of a group Yes No
 I have read and agree with 9Health Fair Vision and Values for volunteers.

* For more information about education and advocacy, please contact us.

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