Volunteer Form

First Name

Last Name

Street Address

City

State

Zip

Phone Number

Email Address

Home Congregation

Home Congregation City & State

For the Ministry

	Grant Writing
	Representative to your home congregation
	Representative to your Christian school
	Booths - represent Phil's Friends at local Christian concerts
	Speaker for Phil's Friends
	Golf Outing (organizing the event)
	Administrative Support

Fundraising

	2008 5K Walk/Run (September)
	2008 Fundraising Dinner (November)
	2009 Walk-a-thon (April 2009)
	Other

Prayer

	Form a prayer group
	Receive specific prayer requests via email

For current cancer patients

	Deliver care packages (to homes and/or hospitals)
	Adopt-a-patient
	Create cards for patients (great opportunity for both kids and adults)

I would like information about starting a chapter (in a church, school, university, hospital, oncology treatment center or Christian organization)

Yes, please send me information about starting a Phil's Friends chapter

I have a special talent that could help Phil's Friends

Additional Comments

PHIL'S FRIENDS WAIVER: I agree to adhere to the mission of Phil's Friends ~ to provide Christ-centered support and hope to those affected by cancer ~ in a repsonsible, compassionate and Christian way.

Please sign (or type) your name here to agree with our Phil's Friends Volunteer Waiver Form:

Signature