* indicates a required field

1. Full Name * (first, last)

2. By what first name or nickname do you prefer to be called? *

3. Email * (you must use your MHC email address)

4. Home Address

Street *

Town *

State * Select StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming

Zip code *

5. Class Affiliation *
Select Class Affiliation 2012 FP International Exchange Student Foreign Fellow Grad Student Transfer

6. Food Preference *
Select Food Preference Meat Vegetarian Vegan

7. Participation

A. * I would like to participate in Second* Saturday on Saturday, September 20, 2008.
Yes-I will save the date and consider this a serious commitment, knowing that others are depending on me.
No

B. Of all the projects described in the brochure, indicate FIVE projects or fewer that really interest you.

Select one for your 1st choice 1. Laughing Brook Wildlife Sanctuary 2. Holyoke Soldiers Home 3. Quilting 4. Not Bread Alone 5. Garlic and Arts Festival 6. The Sycamores 7. Berkshire Hills Music Academy 8. Habitat for Humanity 9. All Out Adventure 10. Five-College Bus Tour & Scavenger Hunt 11. StonyBrook Children's Center 12. Westfield River Watershed 13. Quabbin Reservoir 14. The Old Firehouse Museum 15. Food Bank Farm 16. Apple Fest 17. Emily Dickinson Museum 18. Dakin Animal Shelter 19. Self Defense Workshop 20. Field Trip to Eric Carle Museum 21. Gaylord Museum 22. Temenos 23. Daisy Troop 24. Wistariahurst Historic Garden Restoration 25. Zoo in Forest Park 26. MHC Outing Club Cabin 27. Mt Toby Hike 28. Doctors' Day Off 29. Knitting

Select one for your 2nd choice 1. Laughing Brook Wildlife Sanctuary 2. Holyoke Soldiers Home 3. Quilting 4. Not Bread Alone 5. Garlic and Arts Festival 6. The Sycamores 7. Berkshire Hills Music Academy 8. Habitat for Humanity 9. All Out Adventure 10. Five-College Bus Tour & Scavenger Hunt 11. StonyBrook Children's Center 12. Westfield River Watershed 13. Quabbin Reservoir 14. The Old Firehouse Museum 15. Food Bank Farm 16. Apple Fest 17. Emily Dickinson Museum 18. Dakin Animal Shelter 19. Self Defense Workshop 20. Field Trip to Eric Carle Museum 21. Gaylord Museum 22. Temenos 23. Daisy Troop 24. Wistariahurst Historic Garden Restoration 25. Zoo in Forest Park 26. MHC Outing Club Cabin 27. Mt Toby Hike 28. Doctors' Day Off 29. Knitting

Select one for your 3rd choice 1. Laughing Brook Wildlife Sanctuary 2. Holyoke Soldiers Home 3. Quilting 4. Not Bread Alone 5. Garlic and Arts Festival 6. The Sycamores 7. Berkshire Hills Music Academy 8. Habitat for Humanity 9. All Out Adventure 10. Five-College Bus Tour & Scavenger Hunt 11. StonyBrook Children's Center 12. Westfield River Watershed 13. Quabbin Reservoir 14. The Old Firehouse Museum 15. Food Bank Farm 16. Apple Fest 17. Emily Dickinson Museum 18. Dakin Animal Shelter 19. Self Defense Workshop 20. Field Trip to Eric Carle Museum 21. Gaylord Museum 22. Temenos 23. Daisy Troop 24. Wistariahurst Historic Garden Restoration 25. Zoo in Forest Park 26. MHC Outing Club Cabin 27. Mt Toby Hike 28. Doctors' Day Off 29. Knitting

Select one for your 4th choice 1. Laughing Brook Wildlife Sanctuary 2. Holyoke Soldiers Home 3. Quilting 4. Not Bread Alone 5. Garlic and Arts Festival 6. The Sycamores 7. Berkshire Hills Music Academy 8. Habitat for Humanity 9. All Out Adventure 10. Five-College Bus Tour & Scavenger Hunt 11. StonyBrook Children's Center 12. Westfield River Watershed 13. Quabbin Reservoir 14. The Old Firehouse Museum 15. Food Bank Farm 16. Apple Fest 17. Emily Dickinson Museum 18. Dakin Animal Shelter 19. Self Defense Workshop 20. Field Trip to Eric Carle Museum 21. Gaylord Museum 22. Temenos 23. Daisy Troop 24. Wistariahurst Historic Garden Restoration 25. Zoo in Forest Park 26. MHC Outing Club Cabin 27. Mt Toby Hike 28. Doctors' Day Off 29. Knitting

Select one for your 5th choice 1. Laughing Brook Wildlife Sanctuary 2. Holyoke Soldiers Home 3. Quilting 4. Not Bread Alone 5. Garlic and Arts Festival 6. The Sycamores 7. Berkshire Hills Music Academy 8. Habitat for Humanity 9. All Out Adventure 10. Five-College Bus Tour & Scavenger Hunt 11. StonyBrook Children's Center 12. Westfield River Watershed 13. Quabbin Reservoir 14. The Old Firehouse Museum 15. Food Bank Farm 16. Apple Fest 17. Emily Dickinson Museum 18. Dakin Animal Shelter 19. Self Defense Workshop 20. Field Trip to Eric Carle Museum 21. Gaylord Museum 22. Temenos 23. Daisy Troop 24. Wistariahurst Historic Garden Restoration 25. Zoo in Forest Park 26. MHC Outing Club Cabin 27. Mt Toby Hike 28. Doctors' Day Off 29. Knitting

C. Is there anything we should know about you that would affect your participation in Second* Saturday? For example, any physical disabilities? Are you on an athletic team which might have practices or games on September 20th?