Haiti Meal Pack Sign Up - Saturday, October 1, 2022, 8:00 - noon
October 1, 2022 | Please fill out this form and click submit.
Thank you for helping! If you would like to give toward the fund, go to
https://www.mapleavenue.org/give/
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Choose a Shift
*
Please select one option.
8 - 10 AM
10 AM - Noon
Both - 8:00 AM to Noon
Select Option
8 - 10 AM
10 AM - Noon
Both - 8:00 AM to Noon
Number of People Helping
*
Please select one option.
1
2
3
4
5
6
7
8
9
10
Select Option
1
2
3
4
5
6
7
8
9
10
Names of Helpers
*
Optional - Will you need a stool to sit on while working?
Please select all that apply.
Yes
No
Submit
Description
October 1, 2022
Please fill out this form and click submit.
×
Please Fix the Following