Click here to Donate to Special Kids Day
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| Sponsor/Volunteer
Registration Form......
Visit
the Conejo Valley
Days homepage
PLEASE
PRINT AND COMPLETE
AS ACCURATELY AS POSSIBLE
AND RETURN TO
Zonta Club
of the Conejo Valley,
California
P.O.Box 4832, Thousand
Oaks, CA 91359
Click
here for Printer Friendly
SKD Form |
| Contact
Person: ___________________________________Phone:
Day: (____)________
Eve: (____)________
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| Address:
__________________________________________City:
_______________________Zip:___________ |
| Organization
Name:__________________________________________________________________________ |
| Email: ___________________________________________________ |
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PLEASE
CHECK ALL BOXES THAT APPLY |
| .........
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Individual |
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Student(s)
High School/College |
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Business/Company |
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Parent
of a Special Child |
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Service
Club |
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SPONSORS
Note:
Please make checks payable
to Zonta-Special Kid's Day |
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I/we want to SPONSOR _____
"Kids" at $20.00
per child.
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| Attached/Enclosed
is my/our tax-deductible
donation for $ _____________ |
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VOLUNTEERS
(List
all Volunteers attending
with the same organization
as Contact Person)
Work on-site ("Special
needs" volunteers also
work with the kids)
If you need additional room,
please copy the form |
Special
Needs |
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Wheelchair |
Rides |
Bilingual |
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Name |
Address |
City/Zip |
Phone
# |
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THANK
YOU! WE COULDN'T DO IT
WITHOUT YOU!
If you have questions, changes
or updates after submittal,
Contact
Mary Lou
Phone: 805-492-5779
or e-mail:
skd@zontacv.org. Thank
you.
Zonta Club of the
Conejo Valley, California
www.zontacv.org
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