Repair the World Programs

Event Information

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Volunteer for AgeWell Rides

Volunteer to help drive AgeWell participants to the commemoration ceremony on Prospect Drive in Schenley Park on October 27th at 3 PM! All drivers will be guaranteed parking at the ceremony.

Start Date

10/27/2023

Venue Location

Zoom Meeting (virtual)

,

Spots Remaining

15

I am an adult registering myself, or myself and other non-family membersI am a parent and/or guardian registering myself, my child(ren) and/or spouse for this programI am a parent and/or guardian registering my child(ren) for this program

Program Information

Program Name

Event Description

Volunteer to help drive AgeWell participants to the commemoration ceremony on Prospect Drive in Schenley Park on October 27th at 3 PM! All drivers will be guaranteed parking at the ceremony.

Start Date

Start Time

Spots Left

Venue

Zoom Meeting (virtual)

,

Program has shifts?

YesNo

Select the number of adults being registered

Select the number of children being registered

ERROR:

Shift

Spots Left

Register

Spots Open?

Yes

Space for family?

Registration Cap (Shift)

Registration Cap (Selected Shift)

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Multiple Shifts Selected Error Message

Main Registrant Information

Adult Info (Emergency Contact)

First Name

Last Name

Pronouns

Cell Phone

Zip Code

Registered Particpant

Yes

You may register up to 8 additional participants.

I'd like to register additional adults

I'd like to register additional participants who are under the age of 18

Additional Adults

First Name

Last Name

Pronouns

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Cell Phone

Zip Code

Registered Particpant

Yes

Additional Children

All children must be accompanied by a parent, guardian, or supervisor to attend Repair the World events.

First Name

Last Name

Pronouns

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Date of Birth (MM/DD/YYYY)

Registered Particpant

Yes

Adult Info (Emergency Contact)

First Name

Last Name

Pronouns

Cell Phone

Zip Code

Registered Particpant

Yes

Adult 2 Info

First Name

Last Name

Pronouns

Sharing an email for this participant ensures that everyone registered receives all communication for this program. Leave the field blank if you do not have this participant's unique email address

Cell Phone

Zip Code

Registered Particpant

Yes

Child 1 Info

First Name

Last Name

Pronouns

Sharing an email for this participant ensures that everyone registered receives all communication for this program. You may leave this field blank if this participant does not have an email address

Date of Birth (MM/DD/YYYY)

Registered Particpant

Yes

Child 2 Info

First Name

Last Name

Pronouns

Sharing an email for this participant ensures that everyone registered receives all communication for this program. You may leave this field blank if this participant does not have an email address

Date of Birth (MM/DD/YYYY)

Registered Particpant

Yes

Child 3 Info

First Name

Last Name

Pronouns

Sharing an email for this participant ensures that everyone registered receives all communication for this program. You may leave this field blank if this participant does not have an email address

Date of Birth (MM/DD/YYYY)

Registered Particpant

Yes

Child 4 Info

First Name

Last Name

Pronouns

Sharing an email for this participant ensures that everyone registered receives all communication for this program. You may leave this field blank if this participant does not have an email address

Date of Birth (MM/DD/YYYY)

Registered Participant

Yes

I indicate that I have read, understood, and agreed to the Release and Waiver of Liability on behalf of all registrants listed in this form.

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