Service Learning - Youth Talkin' Trash - April 27, 2013

Celebrating Evansville Youth Commitment to Service

Registration Form
Registration Deadline: April 5

 

Organization Name   

Contact Name          

Contact Primary Phone            Contact Alternate Phone       

Contact Email           

Number Participating:                  NOTE:  There must be at least one adult for every 10 children under the age of 12.

Preschoolers                

Grades K-5                 

Middle School             

High School                 

Adults/Chaperones        

Do you need help with transportation?    Yes        No  (If you indicate a need for assistance we will contact you to discuss details.)

Our group will participate in the following activities:

Clean Evansville Clean-Up, 9-11 a.m.        Click here to print and sign required Waiver of Liability form.  This form must be presented at event check-in.

Those participating in the Clean-Up are invited to participate in the following activities as well:

Celebration Luncheon, 11:30 a.m.-1:30 p.m.   

Guinness World Record Zumba Session, 1:30-2 p.m.        Click here to print and sign required Waiver of Liability form.  This form must be presented at event check-in.

Free use of YMCA facilities 2-3:30 p.m.       

If you have any questions, please email servicelearning@usi.edu or call 812/464-1989.