Southern Ohio Chrysalis

SOUTHERN OHIO CHRYSALIS Volunteer Sign-Up Sheet

NAME ______

ADDRESS ______

______

PHONE______E-Mail______

Date and Place where you attended your flight/walk______------AREAS OF INTEREST: Please place a check mark to the left of all areas where you would be willing to serve:

_____ Kitchen _____ 72-Hour Prayer Vigil _____ Agape _____ Facility Set Up Prior To A Flight _____ Facility “Tear Down” After A Flight _____ Bathroom Cleaning During A Flight _____ I’m willing to contribute toward a scholarship for a young person to attend Chrysalis

PLEASE RETURN THIS FORM TO:

Southern Ohio Chrysalis c/o Cornerstone United Methodist Church 808 Offnere Street Portsmouth, Ohio 45662

For more information, please call Joanne Charles, community lay director, at (740) 354-4494.