Eagle Projects

Your Name

Your Email

Your Phone

(Please use the message section, below, to tell us anything additional that would help us reach you by phone.)

I wish to volunteer for (select from a current project and/or "Any Eagle Project" if you wish to be contacted about future community projects)
Neighborhood Defibrillator AccessibilityAny Eagle Project

Your street address & Zipcode

(This will help us match you with someone nearby.)

I want my service hours recorded

YesNo

Junior HS and HS Students: please enter your age, grade entering in Fall 2015, and name of your school or organization for which you need hours recorded.
Adults: please enter the Jewish organization (synagogue, school, charity) with which you affiliate most

Date(s) and time(s) available (two-hour blocks):
Fri June 26 2015 10am-noonFri June 26 2015 11am-1pmFri June 26 2015 noon-2pmSun June 28 2015 10am-noonSun June 28 2015 11am-1pmSun June 28 2015 noon-2pmSun June 28 2015 1pm-3pmSun June 28 2015 2pm-4pmAny

Any extra message? (special restrictions, walking partner requests, etc.)

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