NameTelephone (Optional)
eMailDate of Activity
Service Activity (Short Description)
Expense or Value $# of Volunteers
# of Hours# of Miles
Community InvolvementCooperation w/other OrganizationAid to OthersSchool and/or ChurchCitizenship EducationYouth AthleticsYouth EducationYouth RecognitionYouth ScoutingYouth Other
Additional Notes (Longer Description)
Δ