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2. Name:*
4. Address:*
5. City:*
6. State:*
7. Zip Code:*
9. Email Address:*
10. Age:*
11. Grade:
13. Shirt Size:*

    1. XS
    2. S
    3. M
    4. L
    5. XL
14. Have you been a volunteer for Safety Town?*

    1. Yes
    2. No
15. If yes, how many years have you volunteered?
17. Availability:

    Please mark the sessions you are available to volunteer. This year, Safety Town will offer two classes on Friday June 9 and June 16 for children with special needs. 

19. Week 1 AM Sessions:*

    1. June 5, 8:30 - 11:30 a.m.
    2. June 6, 8:30 - 11:30 a.m.
    3. June 7, 8:30 - 11:30 a.m.
    4. June 8, 8:30 - 11:30 a.m.
    5. June 9, 8:30 a.m. - 12:30 p.m.
    6. None
20. Week 1 PM Sessions:*

    1. June 5, 12:30 - 3:30 p.m.
    2. June 6, 12:30 - 3:30 p.m.
    3. June 7, 12:30 - 3:30 p.m.
    4. June 8, 12:30 - 3:30 p.m.
    5. None
21. Week 2 AM Sessions:*

    1. June 12, 8:30 - 11:30 a.m.
    2. June 13, 8:30 - 11:30 a.m.
    3. June 14, 8:30 - 11:30 a.m.
    4. June 15, 8:30 - 11:30 a.m.
    5. June 16, 8:30 a.m. - 12:30 p.m.
    6. None
22. Week 2 PM Sessions:*

    1. June 12, 12:30 - 3:30 p.m.
    2. June 13, 12:30 - 3:30 p.m.
    3. June 14, 12:30 - 3:30 p.m.
    4. June 15, 12:30 - 3:30 p.m.
    5. None
24. Thank you!

    Thank you for your interest in volunteering for Beavercreek Police Department's Safety Town! Community Engagement Officer Kris Brownlee will contact you via email shortly. 

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26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

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