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Impact Event Sign-Up
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Work Entry
Complete the form below to register for Sort, Organize and Clean Donated Supplies.
NOTE:
Please register each person that is participating in this event.
First Name
First Name is required.
Last Name
Last Name is required.
Email
Email address is not valid
Email is required.
Mobile Phone
Mobile Phone is required.
Age Range
0-11 years old
12-17 years old
18+
Age Range is required.
Is this your first time serving with Local Impact at Mosaic?
No
Yes
Is this your first time serving with Local Impact at Mosaic? is required.
Any questions for your event host?
Submit