Sleep in Heavenly Peace

Wednesday, February 19, 2025
5:30- 8 p.m.
Sleep in Heavenly Peace
5174 Hamilton-Middletown Rd.
Liberty Township, OH 45011

Name Name First Last
Address Address
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Do you have friends/family that will be coming with you for this service opportunity? If yes, please let us know who. Do you have friends/family that will be coming with you for this service opportunity? If yes, please let us know who. First Last
Additional Guest 1 Additional Guest 1 First Last
Adult T-Shirt size choice

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Additional Guest 2 Additional Guest 2 First Last
Adult T-Shirt choice

Adult T-Shirt choice XS S M L XL 2XL
Please list an emergency contact
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Please list any mobility restrictions, allergies, or other medical conditions that would be important for us to know:
What do you hope to give and/or get out of this experience?
By selecting the "yes" checkbox and typing your name in the box below, you are electronically signing the Volunteer and Waiver Form.

By selecting the "yes" checkbox and typing your name in the box below, you are electronically signing the Volunteer and Waiver Form. Yes No
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