Local Reach Serving Opportunities Form
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Local Reach Serving Opportunities Form
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Form Entry
Campus
Pantops
Louisa
Waynesboro
Ridge Street
Campus is required.
First Name
First Name cannot contain special characters such as quotes, parentheses, etc.
First Name cannot contain emojis or special fonts.
First Name is required.
Last Name
Last Name cannot contain special characters such as quotes, parentheses, etc.
Last Name cannot contain emojis or special fonts.
Last Name is required.
Email
Email address is not valid
Email is required.
Mobile Phone
Flexible Serving Opportunities
Homeless Care Bags
Children's Snack Bags
Teacher Appreciation Bags
The Pantry
Unsure
Flexible Serving Opportunities is required.
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