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Movement Defense Clinic - Volunteer Form
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Name of organization
Contact for organization
Enter the name of who will be the person to correspond with on behalf of your organization
First Name
Last Name
Email
Cell phone
Set-up on Saturday (8:30-9:30am) **Include Name & Cell Phone**
1. 2. 3.
Registration on Saturday (9-10am) **Include Name & Cell Phone**
1. 2. 3.
Lunch set-up and break-down on Saturday (1:30-2pm and then 2:30-3pm) **Include Name & Cell Phone**
1. 2. 3.
Break-down on Saturday (6-7pm) **Include Name & Cell Phone**
1. 2. 3.
Wayfinding **Include Name & Cell Phone**
1. 2. 3.
Access Support **Include Name & Cell Phone**
1. 2. 3.
Can your group provide language interpretation (for your own people or for others)?
Yes
No
What language(s)?
Can your group provide rides to the venue in the morning or evening of either day?
Yes
No
Please list: 1. Which day 2. Morning/evening/both 3. Number of spots available
Can your group contribute funds to this clinic?
Yes
No
How much can you contribute?
Submit
