Name
Street Address
City
State
Kansas
Missouri
ZIP Code
Phone
Mobile Phone (to be used to contact you the day of the event)
E-mail Address
*
If you live in the Green Impact Zone, which neighborhood do you live in?
Blue Hills Neighborhood
Manheim Neighborhood
Ivanhoe Neighborhood
Town Fork Creek Neighborhood
Troostwood Neighborhood
N/A
If you work or volunteer for a Green Impact Zone partner, please list your organization.
We are currently looking for sponsors to help provide t-shirts for this event. While we cannot say for sure if we will have them yet, please provide your size below in case we are able to find sponsors. (Can you help? Contact Wendy Baird at 816-701-8269 or wbaird@marc.org for information.)
Shirt Size
S
M
L
XL
2XL
3XL
If you will be bringing additional workers with you, please list their names and t-shirt sizes.
What is your availability that day?
8 a.m. to noon (the full work day)
8 a.m. to 10 a.m.
10 a.m. to Noon
Do you have any special skills?
Experienced Gardener
Carpentry
Painting, Artistic
Painting, General
Do you have any other special skills not listed?