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home GYSD in Vermont MIni-Grants Get Involved Sponsorship Contact

Event Registration

Please complete the following form or download the PDF to submit by mail.
Contact Kathy Sims with any questions (ksims@middlebury.edu or 802-443-5652).

Organizer/Organization Information

Name of School (if applicable):

Name of Organization:

Name of Organizer (main contact):

Title:

Address:

City:      State:      Zip:

Phone:

Fax:

Email (required):

 

Project Information

Event Name:

Focus of Project:












This project will consist of the following elements:








Other (specify)

Please give a one paragraph summary of the planned project or event:

Day-of information (such as what to bring/what to wear):

Number of volunteers that will participate (anticipated):

Would you like VCC to advertise this event as open to other volunteers?

Date of service:

Start Time: :

End Time: :

Location name of service site:

Street address of service site:

City, State, Zip Code of service site:

Latitude and Longitude of service site (if known):

County of service site (required):

Check any of the GYSD Grantees you are affiliated with:










Please indicate which Service Events, not including GYSD, your school or organization participates in:








National Wildlife Week



For security purposes, enter the following number exactly as you see it:

  

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