Individual Name or Family Name:

E-Mail Address:

Phone Number:

Participating family members' names and ages and t-shirt sizes:

I/We would like to be a volunteer in the following area:

Habitat For Humanity
Interact
Park Cleanup
Interfaith Food Shuttle - Collection
Interfaith Food Shuttle - Storing
Delivery of Passover Baskets
JCC Mailing
Clothing Drive
South Wilmington Street Shelter
Opening Event/Breakfast
Closing Event/Ice Cream Social

I would like to be a Mitzvah Day Sponsor ($180)

I would like to be a Mitzvah Day Jewel Sponsor ($36) in honor of (Suggestions for Jewels are your children, grandchildren or loved ones)