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Compassion RockPoint Volunteer Sign Up

Volunteer Information

Name*

Address*

Phone Number*

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Email Address*

Confirm Email Address*

T-Shirt Size*

I would like to receive Compassion Connect communications

I am interested in: (check all that apply)

Medical Team

Vision Team

Dental Team

Haircuts

Equipment Team

Registration

Other

I am a:

Medical Provider

MD, NP, PA

Optometrist

Dentist

Hygienist

Registered Nurse

Medical Assitant

Dental Assistant

Dental X-Ray Tech

Ultrasound Tech

Sterilization Tech

Cosmetologist

General Volunteer

Other

More Information

What knowledge, skills, and abilities do you bring?*

How did you hear about this opportunity?*

Is there anything else you think we should know about you? Please include any comments or questions.

I would also like to sponsor 1,2 or 3 guests at this event: (optional- leave blank to decline)

Suggested Amounts

$35
$70
$105
Other

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