community day registration
community day
service opportunities

To sign up for Community Day please complete the registration form below.

Canisius Community Service Day
Saturday, November 19, 2011
*We meet in the West Wing of the Cafeteria at 9:15 a.m.

Name:
E-Mail:
Cell Phone:
 
Mark one for registration: Student Organization
Individual
Family
 Alumni/Friend of the college
 
Name of Student Organization:
 
Estimated number of participants from your student club:
 
Will your club or organization require transportation?: YesNo
If yes, please estimate how many people would need transportation:
 
Is there any work you would be unable to perform?:
 
Do you have any dietary restrictions?: