Vermont Neighborhood Captain Registration

Student First Name Student Last Name Email Address Cell Phone Name of Student's School County If you are part of a team, enter your team name If referred by someone, please enter their name. Street Address City State Country Zip Code

Parent or Guardian Name (18 years or older)

Parent's Email Parent Phone Number Release and Waiver Acceptance I accept the Rules & Regulations and the Release and Waiver

By clicking here, the Student and Parent / Guardian confirm that you have read the Rules & Regulations noted in the Neighborhood Captain section of this website and in the Release and Waiver.

NEIGHBORHOOD CAPTAIN: Vermont

REGISTRATION

Vermont Food Drive

Saturday, March 25, 2023

Drop Site: South Burlington Food Shelf, 356 Dorset St, South Burlington, VT 05403

SIGN UPS ARE CLOSED

Please fill out the information below to sign up! If you are a member of a team, please indicate your team name in the field below.

Click here to view the Dermer Dreams Release & Waiver.

Dermer Dreams. Fighting Hunger... One Bag at a Time