A Walk in the Park Volunteer Form - Marion County Health Department

INDY IN MOTION
Walking Program
A WALK IN THE PARK
Staffing Form

YES, YOU CAN COUNT ME IN! I WILL BE AVAILABLE TO WORK:
Please place a check for your top TWO choices each week in the calendar below:

MON	TUE	WED	THU	FRI
Mar. 17	18	19	20	21
24	25	26	27	28
31	Apr. 1	2	3	4
7	8	9	10	11
14	15	16	17	18

All shifts are Monday thru Friday 5:00 p.m. to 6:30 p.m.

	Please check your top two park choices:		___	Broad Ripple Park
			___	Christian Park
			___	Ellenberger Park
			___	Garfield Park
PLEASE PRINT: Name: ____________________________________________ Phone: ____________________________________________ E-mail address: ____________________________________________			___	Krannert Park
			___	Northwestway Park
			___	Perry Park
			___	Riverside Park
			___	Washington Park

		View the Indy Park Sites Map

If you would like to volunteer, please print out this form, fill it out
and return by March 4, 2003 to
Marion County Health Department
Corey Wilson, 3rd Floor
3838 N. Rural St.
Indianapolis, IN 46205
or fax to (317) 221-2130