Team Firestopper - Kern (Taft) Community Canvassing

* First Name

*Last Name

*Are you over 18? I am over 18 I am under 18 and will return the Parental Consent Forms by October 9th

*Primary Phone

* Email

*Are you a current Red Cross volunteer? Yes No

Are you affiliated with a local group or organization? If so, please list.

*What is your t-shirt size? (adult sizes)

Do you have any food allergies?  If so, please list.

*WILL YOU REQUIRE TRANSPORTATION TO TAFT, CA FOR THIS EVENT? Yes No

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