United Way of
Rockland County

Volunteer Registration Form

If you are interested in registering a volunteer team or as an individual for the 2021 Fall Day of Caring, please complete and submit this form by September 15, 2021. If you have any questions please contact Jackie Goldstein at j.goldstein@uwrc.org or 845-358-8929.



* Business/Organization:    

* Address:    

* City:         * State:         * Zip:    

* Phone (e.g. 845-123-4567):         Fax (e.g. 845-123-4567):    

E-mail:    

* Volunteer Team Coordinator:    

* Office Phone (e.g. 845-123-4567):         * Cell Phone (e.g. 845-123-4567):    

* E-mail:    

Our total number of volunteers is:    

T-Shirt sizes available are: S, M, L, XL, 2XL. The default is XL.

Volunteer 1:           E-mail:         T-Shirt Size:    

Volunteer 2:           E-mail:         T-Shirt Size:    

Volunteer 3:           E-mail:         T-Shirt Size:    

Volunteer 4:           E-mail:         T-Shirt Size:    

Volunteer 5:           E-mail:         T-Shirt Size:    

Volunteer 6:           E-mail:         T-Shirt Size:    

Volunteer 7:           E-mail:         T-Shirt Size:    

Volunteer 8:           E-mail:         T-Shirt Size:    

Volunteer 9:           E-mail:         T-Shirt Size:    

Volunteer 10:         E-mail:         T-Shirt Size:    

Volunteer 11:         E-mail:         T-Shirt Size:    

Volunteer 12:         E-mail:         T-Shirt Size:    

Volunteer 13:         E-mail:         T-Shirt Size:    

Volunteer 14:         E-mail:         T-Shirt Size:    

Volunteer 15:         E-mail:         T-Shirt Size:    

Volunteer 16:         E-mail:         T-Shirt Size:    

Volunteer 17:         E-mail:         T-Shirt Size:    

Volunteer 18:         E-mail:         T-Shirt Size:    

Volunteer 19:         E-mail:         T-Shirt Size:    

Volunteer 20:         E-mail:         T-Shirt Size:    



To be guaranteed a shirt in a specific size, all information must be submitted by September 1, 2019. Otherwise, volunteers will receive shirts in Extra Large.

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Important information

Please review the following important information prior to completing this form:

  • The Fall Day of Caring will take place rain or shine from October 1-15, 2021.
  • Volunteers must provide their own transportation.
  • Projects take place on site, lasting a minimum of 3 hours.
  • Project assignments will be announced two weeks prior to the Fall Day of Caring.
  • Volunteers should dress appropriately for the weather and their project assignment.
  • UWRC will do our best to keep volunteer teams together.
  • All volunteers are encouraged to complete and submit a UWRC Photo & Video Release Form for the 2021 Fall Day of Caring.

Volunteer Registration Form

If you prefer to download the form and fax to UWRC at 845-358-8250, or email to UWRC at j.goldstein@uwrc.org, then please click on the link below: