Canisius College

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?:

Campus Ministry