(*) Indicates information required for registration. 1. CONTACT INFORMATION
Contact Name:	*   Title:
Society/Group:
Address:	*
City:	*    State:  AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY OTHER *
Zip:	*
Phone:	*     Fax:
Email:	*

2. PARTICIPATING GROUPS
Society / Group

3. VOLUNTEERS

How many volunteers are expected at your project?    *

How should volunteers contact you?     Email    Phone

Note: Checking email and/or phone boxes will make this information public on the website.

4. PROJECT SCHEDULE AND LOCATION
Project Date:	*
Project Time:	AM PM  *
Project Location:	*
Address1:
Address2:
City:	*    State: AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY OTHER *
Zip:	*

5. DESCRIBE YOUR "JOIN HANDS DAY" PROJECT

Here is our JOIN HANDS DAY plan:

*