| Name: |
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| Age: |
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School:
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Year in School:
If Other please specify:
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| Home Address: |
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| City: |
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| State/Zip: |
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| Day Phone: |
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| Evening Phone: |
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| E-Mail: |
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| I am Requesting: |
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| Reason for Request: |
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| Date needed by: |
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As with all requests for assistance through the Sandy Optimist Club, You must present your request in person, to the club at one of our scheduled meetings. Your request is then decided upon by the Board of Directors with you being notified of its' decision. We meet on Thursdays from 7-8 p.m. at the Sandy Senior Center (downstairs). Please e-mail us with this information, and possible dates you are able to present your request. We will then schedule you for your presentation.
Possible dates for presentation: |
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| 1st Choice: |
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| 2nd Choice: |
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| 3rd Choice: |
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