Become a Superhero Today!

Name*

Phone*

Email*

Street Address*

Street Address 2

City*

State*

Zip Code*

Skills, Talents, Interests*

Days/Times Available

How has your life been touched by addiction?*

I would be interested in volunteering in the following areas:
Fundraising events (including set-up, tear down, assistance during event as needed)Assistance with information booth for Not One More, York Chapter at events

Comments

Please confirm that you are 18 years of age or older.
Yes, I am over the age of 18.