2015 Registration Form

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Then Feed Just One Palo Alto County Packing Registraon Every 5 seconds a person dies from hunger or malnutrition. Today almost 41,000 children will die from hunger-related causes. WE CAN HELP reduce these numbers….help us package high quality, highly nutritious and tasty meals to send around the world! Name: ______________________________________ Phone: ________________________ Address: ____________________________________________________________________ Email: ______________________________________ Age: __________________________ Shift Preference (circle the shift you prefer) 8:00 am - 9:00 am 9:00 am - 10:00 am 10:00 am - 11:00 am 11:00 am - 12:00 pm $30 per person per shift Adopt-a-youth: If you would like to sponsor a youth to work a shift Sponsor Name: _________________________________ Phone: ______________________ Address: ____________________________________________________________________ Youth Name: __________________________________ Phone: _______________________ Email: _______________________________________ Age: _________________________ Shift Preference: ________________________________________ $30 donation per person Saturday, September 26, 2015 Palo Alto County Fairgrounds 2101 Madison Emmetsburg IA Over 1/4 Million meals so far! Contact Lois Stanley (852-2692, [email protected]) or Bonnie Whitney (852-9160, [email protected]) with registrations.

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TFJO Registration form for Individuals

Transcript of 2015 Registration Form

Then Feed Just One Palo Alto County Packing Registraton Every 5 seconds a person dies from hunger or malnutrition.Today almost 41,000 children will die from hunger-related causes.WE CAN HELP reduce thesenumbers.help us package high quality, highly nutritious andtasty meals to send around the world! Name:______________________________________Phone:________________________ Address:____________________________________________________________________ Email:______________________________________Age:__________________________ Shift Preference (circle the shift you prefer)8:00 am - 9:00 am 9:00 am - 10:00 am 10:00 am - 11:00 am11:00 am - 12:00 pm $30 per person per shiftAdopt-a-youth:If you would like to sponsor a youth to work a shift Sponsor Name:_________________________________Phone:______________________ Address:____________________________________________________________________ Youth Name:__________________________________Phone:_______________________ Email:_______________________________________Age:_________________________ Shift Preference:________________________________________ $30 donation per person Saturday, September 26, 2015 Palo Alto County Fairgrounds 2101 Madison Emmetsburg IAOver 1/4 Million meals so far! Contact Lois Stanley (852-2692,[email protected]) orBonnie Whitney (852-9160, [email protected]) with registrations.


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