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2013 MLK Day of Service Registration Form
Last Name
First Name
Email Address
Affiliation
UM-Flint Student
UM-Flint Staff
UM-Flint Faculty
Community Member (Non-UM-Flint)
Service Site
Boys & Girls Club of Greater Flint
Carriage Town Ministries
Crossover Downtown Outreach Ministry
Genesee County Habitat for Humanity
Humane Society of Genesee County
My Brother's Keeper
Our Home Transitional
Adopt-A-Pet
Flint Eastside Mission
Flint Public Library
Let's Have Some Art
T-Shirt Size
Small
Medium
Large
XLarge
2X
3X
Will you attend the MLK Day Breakfast?
Yes
No
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MLK 2013
