Service Project – Larimer Humane Society

School/Service Club/Organization/Group Name*

Contact Person (Name/Title)*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Phone*

Email*

Requested date of service*

Requested time of service*

Number of participants*

Age of participants (if under 18)*

Toy making is the only options for youth under 18 years of age.

Number of parents/chaperones (if under 18)*

parents and chaperones required for youth groups

Proposed project*

We may ask for your group to collect and donate supplies for toy making. Thank you so much for your interest in serving Larimer Humane Society!

Name

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