FORM – CURE Flags Campaign

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Volunteer to be a Captain

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Contact Information

Name*

First Last

Email*

Cell Phone*

Address*

Street Address City State Zip

Neighborhood*

Captain Specifics

Have you been a flag captain before?

Yes

No

Are you a patient family?

Yes

No

How did you hear about the opportunity to be a captain?

CURE website

CURE newsletter

Facebook

Instagram

Patient family

CURE employee or board member

Other

If other, please share details:

Designated Pick-Up Location Information

Pick-Up Address*

Street Address City State Zip

Location Description*

(ex: garage, front porch, clubhouse, Publix parking lot, etc.)

When will pick-up be available at your location?*

Please list as many details as possible. What dates, days of the week, time frames?

Please provide specific instructions to be shared with purchaser for their pick-up.*

Be as specific as possible.

200 Ashford Center North, Suite 250 Atlanta, GA 30338 Molly@curechildhoodcancer.org, 770-986-0035 Makenzie@curechildhoodcancer.org, South Georgia

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Volunteer to be a Captain​

Contact Information

Captain Specifics

Designated Pick-Up Location Information

Volunteer to be a Captain