S.A.Y. DETROIT

 

(SUPER ALL YEAR DETROIT)

A Non Profit Charity to Help Improve the Lives of Detroit's Homeless

 

MITCH ALBOM’S “A TIME TO HELP” 

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VOLUNTEER REGISTRATION FORM

Title

  
Contact First Name:  
Contact Last Name
Group Name (if Available)  

Number of Volunteers in the Group

(if applicable)
Street Address or P.O.Box:  
City:  
State/Province  
Zip/Postal Code::  
Would you like to be on our mailing list  
email address:  
phone number  
comments  

By filling out the Volunteer Registration Form, I do hereby give my consent and permission to Mitch Albom’s “A Time to Help” and S.A.Y. Detroit  to copyright, publish, use photographic portraits or videotape of me for publicity efforts.  Any such representation, including those in which I may be included in whole or in part, presented in composites or distorted, in conjunction with my name or reproductions may be used.  These may be used in color or otherwise made through any media for art, advertising, or any other lawful purpose whatsoever.