Milk & Honey Sign Up Form Posted on August 8, 2012 by admin Select your activity or activities:Deliver food and companionshipAssemble food baskets (no delivery of food)Participate in storytelling, create Kiddush cups and prepare greeting cardsPaint canvases for the JCS Miami Beach Senior CenterJoin in Kiddush clubbing at Federation Towers with music and L’ChaimClick here for more informationIf you are an adult (18 years of age or older) wishing to deliver food baskets, State law now requires JCS to verify your background through two agencies: the Florida Department of Law Enforcement and Sjodin National Sex Offender Registry. No fee or additional action is required by you.Adult Name (as it appears on Driver's License)*FirstLastAddress*Street AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateZIP CodeCounty*Phone*Email*Check here if you will be delivering food basketsAdditional VolunteersCheck here if there are more adults (age 18 or older) in your groupCheck here if there are minors (age 17 or younger) in your groupAdditional Volunteers (18 years & over)Adult Name (as it appears on Driver's License)*FirstLastAddress*Street AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateZIP CodeCounty*Phone*Email*Check here if you will be delivering food basketsAdult Name (as it appears on Driver's License)FirstLastAddressStreet AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateZIP CodeCountyPhoneEmailCheck here if you will be delivering food basketsAdult Name (as it appears on Driver's License)FirstLastAddressStreet AddressCityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificStateZIP CodeCountyPhoneEmailCheck here if you will be delivering food basketsAdditional Volunteers (17 years old & under)Name*Age*--34567891011121314151617NameAge--34567891011121314151617NameAge--34567891011121314151617NameAge--34567891011121314151617Permission is given for JCS to use my photo unless I contact Marian Mendelsohn at 305.403.6539 or mmendelsohn@jcsfl.org by August 31st. Community service hours are available for students.
