<p> SOUTHERN OHIO CHRYSALIS Volunteer Sign-Up Sheet</p><p>NAME ______</p><p>ADDRESS ______</p><p>______</p><p>PHONE______E-Mail______</p><p>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:</p><p>_____ 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</p><p>PLEASE RETURN THIS FORM TO: </p><p>Southern Ohio Chrysalis c/o Cornerstone United Methodist Church 808 Offnere Street Portsmouth, Ohio 45662</p><p>For more information, please call Joanne Charles, community lay director, at (740) 354-4494.</p>