Pink Hands of Hope Volunteer Form

State

Date of Birth*

Shirt Size

Do you volunteer elsewhere?*

ARE YOU A BREAST CANCER SURVIVOR?*

Do you have any medical limitations?*

Do you have a Facebook Account?*

Do you follow us on Facebook?*

Are you interested in b eing on any committee or advisor board? (i.e. Fashion Show, Events, Golf Outing)

Would you be interested in being trained to work in the wig room to help out cancer patients?

What days work best for you to volunteer? (Check all that apply)

What time do you prefer? (Check all that apply)

Interested in helping: (Check all that apply)

I agree to have my name and likeness used on marketing materials such as social media as long as it puts me in a good light and is not detrimental to myself or family.*