Name *

First Name

Last Name

Phone

(###)

###

####

Shirt Size *

XS

S

M

L

XL

XXL

Other

Do you have any mobility restrictions? *

No Restrictions

Yes, I cannot go up stairs

Yes, I cannot walk long distances

Other

Roommate Preference *

I have no preference. Select For Me

I already have a roommate selected, please list below.

Your Service *

Check All That Apply

In the kitchen - Prep Work (setting the table, assist the cook, setting the serving table)

In the kitchen - Cooking A Meal

In the kitchen - Clean up (wash dishes, put away leftovers, etc.)

General Cleaning (after activities, fellowship, etc.)

Trash collection & disposal

Lead A Small Group

Media (Take Video & Pictures)

Pack Up & Check Out

Communicator (be the liaison for a group of ladies to convey messages and instructions)

What are your interests? *

Check All That Apply

Music (playing instrument)

Music (Singing)

Playing Games

Leading Games

Leading a discussion or a study

Outdoor Activities (jogging, walking, campfire)

Outdoor Sports

Other