Perinton Congregations Habitat for Humanity Volunteer Sign-up Form
To help you make your selection(s), click on any of the months below to see the number of openings available each day. Filled up slots will either contain the name of the volunteer(if permission is given) or the word "Filled."
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June

July



Volunteer Information

Instructions
Map
Waiver
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Sign-up for working to build our Habitat House

For a hard copy version of this form for a friend or relative with no online access, click here.
Select your dates from the list of openings (available dates) as shown in the calendar months on the left. Enter your dates (eg July 24, July 27,...) separated by commas in the text field below. Please complete the form below and provide us with your email so we can contact you and keep in touch.

Fields marked with a red asterisk* are required. When you have completed the form, click the "Submit" button at the bottom.

Enter dates you are volunteering for:

Number of days signed up: 		If dates you selected are filled, what alternate dates are acceptable?:

Number of days signed up:

Application Type


Choose one.

   I am volunteering as an individual.

  I am volunteering as a member of a team

If you are initiating a team, how many volunteers will you supply?:
         Team Name/Congregation/Other Affiliation

Contact Information
         Name:*
         You can show my name on the web based schedule.
         E-mail*
         Daytime Phone:*
         Evening Phone:
         Street Address:
         City:
         State:
         Zip:

Your Age

  I am over 18.

  I am 16 or 17 years old.

Thank you for volunteering! We will confirm your enrollment within the next two days.

I would like a Perinton Congregations Habitat for Humanity T-shirt
$10 payable on delivery. Fill in number needed in each size below.
MediumLargeExtra Large

Click Submit Form below when you have filled in all the information, or click Clear Form to start over.

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