The 3R Bazaar will be held Saturday, November 10, 2012, from 10 a.m. to 2 p.m., at the Parks, Recreation and Environmental Services Facility at 8203 Millennium Forest Drive. Thank you for your support!

First name*

Last name*

Address*

City*

State*

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Zip*

Phone 1 *

Phone 2

E-mail *

Organization name (if applicable)

Younger than age 18?*

Yes

No

If yes, what is your date of birth?

TIME FRAMES

---

Please check the appropriate box below next to the time you interested in volunteering. *

9 a.m. - noon

Noon - 3 p.m.

EMERGENCY CONTACT

---

First name*

Last name*

Address

City

State

Select a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMassachusettsMarylandMichiganMinnesotaMississippiMissouriMontanaNorth CarolinaNorth DakotaNebraskaNevada New Hampshire New JerseyNew MexicoNew YorkOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVirginiaVermontWashingtonWest VirginiaWisconsinWyomingWashington D.C.

Zip

Phone*

E-mail

WAIVER / RELEASE FORM

---

All volunteers must read the Waiver / Release Form.

I affirm and acknowledge that I have read the waiver / release form.*

Yes

Detailed information will be sent to you the week of the event. Please contact 281-210-3800 with any questions.