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ze: 9; fp-bgcolor: #406AD9; fp-proportional: 0"
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span></a><o:p></o:p></span></p>
    </td>
    <td width=3D165 style=3D'width:123.85pt;padding:0in 0in 0in 0in;height:=
17.2pt'>
    <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
    style=3D'color:yellow'><a href=3D"file:///C:\PFFSAA\linkspage.htm"><span
    style=3D'text-decoration:none;text-underline:none'><!--[if gte vml 1]><=
v:shape
     id=3D"img23" o:spid=3D"_x0000_i1030" type=3D"#_x0000_t75" alt=3D"Links"
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pt'
     o:button=3D"t">
     <v:imagedata src=3D"volunteerapp_files/image006.jpg" o:href=3D"../PFFS=
AA/buttons/button6E.jpg"/>
    </v:shape><![endif]--><![if !vml]><span style=3D'mso-ignore:vglayout'><=
img
    border=3D0 width=3D100 height=3D20 src=3D"volunteerapp_files/image006.j=
pg"
    alt=3DLinks
    onmouseover=3D"FP_swapImg(1,0,/*id*/'img23',/*url*/'file:///C:/PFFSAA/b=
uttons/button6F.jpg')"
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ttons/button6E.jpg')"
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uttons/button70.jpg')"
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tons/button6F.jpg')"
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ze: 9; fp-bgcolor: #406AD9; fp-proportional: 0"
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o:p></span></p>
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    <td style=3D'padding:0in 0in 0in 0in;height:17.2pt'>
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    style=3D'color:yellow'><a href=3D"file:///C:\PFFSAA\recognitions.htm"><=
span
    style=3D'text-decoration:none;text-underline:none'><!--[if gte vml 1]><=
v:shape
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nitions"
     href=3D"file:///C:\PFFSAA\recognitions.htm" style=3D'width:78pt;height=
:15pt'
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     <v:imagedata src=3D"volunteerapp_files/image007.jpg" o:href=3D"../PFFS=
AA/buttons/button96.jpg"/>
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img
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pg"
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    onmouseover=3D"FP_swapImg(1,0,/*id*/'img18',/*url*/'file:///C:/PFFSAA/b=
uttons/button97.jpg')"
    onmouseout=3D"FP_swapImg(0,0,/*id*/'img18',/*url*/'file:///C:/PFFSAA/bu=
ttons/button96.jpg')"
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uttons/button98.jpg')"
    onmouseup=3D"FP_swapImg(0,0,/*id*/'img18',/*url*/'file:///C:/PFFSAA/but=
tons/button97.jpg')"
    fp-style=3D"fp-btn: Metal Capsule 1; fp-font: Comic Sans MS; fp-font-si=
ze: 9; fp-bgcolor: #406AD9; fp-proportional: 0"
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<o:p></o:p></span></p>
    </td>
    <td width=3D99 style=3D'width:74.6pt;padding:0in 0in 0in 0in;height:17.=
2pt'>
    <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
    style=3D'color:yellow'><a href=3D"file:///C:\PFFSAA\contact_us.htm"><sp=
an
    style=3D'text-decoration:none;text-underline:none'><!--[if gte vml 1]><=
v:shape
     id=3D"img22" o:spid=3D"_x0000_i1032" type=3D"#_x0000_t75" alt=3D"Conta=
ct Us"
     href=3D"file:///C:\PFFSAA\contact_us.htm" style=3D'width:75pt;height:1=
5pt'
     o:button=3D"t">
     <v:imagedata src=3D"volunteerapp_files/image008.jpg" o:href=3D"../PFFS=
AA/buttons/button37.jpg"/>
    </v:shape><![endif]--><![if !vml]><span style=3D'mso-ignore:vglayout'><=
img
    border=3D0 width=3D100 height=3D20 src=3D"volunteerapp_files/image008.j=
pg"
    alt=3D"Contact Us"
    onmouseover=3D"FP_swapImg(1,0,/*id*/'img22',/*url*/'file:///C:/PFFSAA/b=
uttons/button33.jpg')"
    onmouseout=3D"FP_swapImg(0,0,/*id*/'img22',/*url*/'file:///C:/PFFSAA/bu=
ttons/button37.jpg')"
    onmousedown=3D"FP_swapImg(1,0,/*id*/'img22',/*url*/'file:///C:/PFFSAA/b=
uttons/button34.jpg')"
    onmouseup=3D"FP_swapImg(0,0,/*id*/'img22',/*url*/'file:///C:/PFFSAA/but=
tons/button33.jpg')"
    fp-style=3D"fp-btn: Metal Capsule 1; fp-font: Comic Sans MS; fp-font-si=
ze: 9; fp-bgcolor: #406AD9; fp-proportional: 0"
    fp-title=3D"Contact Us" v:shapes=3D"img22"></span><![endif]></span></a>=
<o:p></o:p></span></p>
    </td>
   </tr>
   <tr style=3D'mso-yfti-irow:2;mso-yfti-lastrow:yes;height:21.75pt'>
    <td width=3D158 style=3D'width:118.65pt;padding:0in 0in 0in 0in;height:=
21.75pt'>
    <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
    style=3D'color:yellow'><!--[if gte vml 1]><v:shape id=3D"img24" o:spid=
=3D"_x0000_i1033"
     type=3D"#_x0000_t75" alt=3D"Current/Coming Events" style=3D'width:119.=
25pt;
     height:15pt'>
     <v:imagedata src=3D"volunteerapp_files/image009.jpg" o:href=3D"../PFFS=
AA/buttons/button43.jpg"/>
    </v:shape><![endif]--><![if !vml]><img border=3D0 width=3D159 height=3D=
20
    src=3D"volunteerapp_files/image009.jpg" alt=3D"Current/Coming Events"
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al: 0"
    fp-title=3D"Current/Coming Events"
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uttons/button44.jpg')"
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ttons/button43.jpg')"
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uttons/button45.jpg')"
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tons/button44.jpg')"
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    <td width=3D165 style=3D'width:123.85pt;padding:0in 0in 0in 0in;height:=
21.75pt'>
    <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><a
    href=3D"file:///E:\PFFSAA\lost_and_found.htm"><span style=3D'text-decor=
ation:
    none;text-underline:none'><!--[if gte vml 1]><v:shape id=3D"img36" o:sp=
id=3D"_x0000_i1034"
     type=3D"#_x0000_t75" alt=3D"LostandFound" href=3D"file:///E:\PFFSAA\lo=
st_and_found.htm"
     style=3D'width:75pt;height:15pt' o:button=3D"t">
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/E:\PFFSAA\buttons\button2.jpg"/>
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img
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pg"
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<span
    style=3D'color:yellow'>&nbsp;<o:p></o:p></span></p>
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    <td style=3D'padding:0in 0in 0in 0in;height:21.75pt'>
    <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
    style=3D'color:yellow'><o:p>&nbsp;</o:p></span></p>
    </td>
    <td width=3D99 style=3D'width:74.6pt;padding:0in 0in 0in 0in;height:21.=
75pt'>
    <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
    style=3D'color:yellow'><o:p>&nbsp;</o:p></span></p>
    </td>
   </tr>
  </table>
  </div>
  <p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
  style=3D'color:yellow'><o:p></o:p></span></p>
  </td>
  <td style=3D'padding:.75pt .75pt .75pt .75pt;height:96.75pt'>
  <p class=3DMsoNormal><!--[if gte vml 1]><v:shape id=3D"_x0000_s1026" type=
=3D"#_x0000_t75"
   alt=3D"" style=3D'position:absolute;margin-left:0;margin-top:-93.8pt;wid=
th:134.4pt;
   height:90.3pt;z-index:1;mso-wrap-distance-left:0;mso-wrap-distance-right=
:0;
   mso-position-horizontal:left;mso-position-horizontal-relative:text;
   mso-position-vertical-relative:line' o:allowoverlap=3D"f">
   <v:imagedata src=3D"volunteerapp_files/image011.gif" o:title=3D"catgphc"=
/>
   <w:wrap type=3D"square"/>
  </v:shape><![endif]--><![if !vml]><img width=3D179 height=3D120
  src=3D"volunteerapp_files/image012.gif" align=3Dleft border=3D0 v:shapes=
=3D"_x0000_s1026"><![endif]><span
  style=3D'color:yellow'><o:p></o:p></span></p>
  </td>
 </tr>
</table>

</div>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><span style=3D'f=
ont-size:
9.0pt;text-decoration:none;text-underline:none'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoTitle align=3Dleft style=3D'text-align:left'><span style=3D'f=
ont-size:
9.0pt;text-decoration:none;text-underline:none'>Application Date</span><span
style=3D'font-size:9.0pt'> <span style=3D'mso-tab-count:5'>&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span=
><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:202.5pt'><b><u><span style=3D'font-=
size:8.0pt;
font-family:Arial'><o:p><span style=3D'text-decoration:none'>&nbsp;</span><=
/o:p></span></u></b></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><b><u><span
style=3D'font-family:Arial'>Volunteer Application</span></u></b><u><span
style=3D'font-family:Arial'><o:p></o:p></span></u></p>

<p class=3DMsoNormal align=3Dcenter style=3D'text-align:center'><span
style=3D'font-size:9.0pt;font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;font-family:Arial'>PFFS=
AA<span
style=3D'mso-tab-count:6'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Phone:
919-394-7706<o:p></o:p></span></p>

<p class=3DMsoNormal><st1:Street w:st=3D"on"><st1:address w:st=3D"on"><span
  style=3D'font-size:9.0pt;font-family:Arial'>1812 O&#8217;Berry Center Rd.=
</span></st1:address></st1:Street><span
style=3D'font-size:9.0pt'><span style=3D'mso-tab-count:5'>&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp; </span></span><span
style=3D'font-size:9.0pt;font-family:Arial'>E-mail: <span style=3D'color:bl=
ue'><a
href=3D"mailto:info@purrrfectfriendsfelineshelter.org">info@purrrfectfriend=
sfelineshelter.org</a></span><o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:9.0pt;font-family:Arial'>Gold=
sboro,
NC 27530<o:p></o:p></span></p>

<h1><span style=3D'font-size:11.0pt;mso-bidi-font-size:12.0pt'><o:p>&nbsp;<=
/o:p></span></h1>

<h1><span style=3D'font-size:10.0pt'>Note: <i>Application must be filled ou=
t completely.
This is also an online form in MSWord. Save and email as an attachment or m=
ail
in.<o:p></o:p></i></span></h1>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt;font-family:Arial'><o:=
p>&nbsp;</o:p></span></p>

<h4 style=3D'tab-stops:.5in 90.65pt'><u><span style=3D'font-size:10.0pt;lin=
e-height:
150%'>Minimum Age Verification<o:p></o:p></span></u></h4>

<p class=3DMsoBodyText2 style=3D'line-height:normal'><span style=3D'font-si=
ze:10.0pt;
font-family:Arial'>Completion of this application means you are 16 years of=
 age
or older. Please note that if you are under the age of 18, a parent or guar=
dian
signature will be required if accepted.<o:p></o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt;font-family:Arial'><o:=
p>&nbsp;</o:p></span></p>

<h2 align=3Dleft style=3D'text-align:left'><span style=3D'font-size:10.0pt'=
>Your
Contact Information<o:p></o:p></span></h2>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><span style=3D'font-size:1=
0.0pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Name </span><a
name=3DText1></a><!--[if supportFields]><span style=3D'mso-bookmark:Text1'>=
</span><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Text1'=
><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </span></u><span
style=3D'mso-element:field-separator'></span></span><![endif]--><span
style=3D'mso-bookmark:Text1'></span><span style=3D'mso-bookmark:Text1'><u><=
span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-bidi=
-font-family:
"MS Mincho";mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;</span></u></span><sp=
an
style=3D'mso-bookmark:Text1'><u><span style=3D'font-size:10.0pt;line-height=
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font-family:Arial;mso-no-proof:yes'><span
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sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
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sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></u></span><span style=3D'mso-bookmark:Text1'><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-bidi=
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"MS Mincho";mso-no-proof:yes'>&nbsp;</span></u><!--[if gte mso 9]><xml>
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000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
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style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Text1'></span><span style=3D'mso-bookmark:Text1'></span><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p></o:p></=
span></u></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Address 1 </s=
pan><a
name=3DText2></a><!--[if supportFields]><span style=3D'mso-bookmark:Text2'>=
</span><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Text2'=
><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </span></u><span
style=3D'mso-element:field-separator'></span></span><![endif]--><span
style=3D'mso-bookmark:Text2'></span><span style=3D'mso-bookmark:Text2'><u><=
span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u></span><span
style=3D'mso-bookmark:Text2'><u><span style=3D'font-size:10.0pt;line-height=
:150%;
font-family:Arial;mso-fareast-font-family:"MS Mincho";mso-no-proof:yes'><sp=
an
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;
</span></span></u></span><span style=3D'mso-bookmark:Text2'><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;</span></u><!--[if=
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 <w:data>FFFFFFFF0000000014000500540065007800740032000000000000000000000000=
000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Text2'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Text2'></span><span style=3D'mso-bookmark:Text2'></span><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p></o:p></=
span></u></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>City </span><a
name=3DText3></a><!--[if supportFields]><span style=3D'mso-bookmark:Text3'>=
</span><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Text3'=
><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </span></u><span
style=3D'mso-element:field-separator'></span></span><![endif]--><span
style=3D'mso-bookmark:Text3'></span><span style=3D'mso-bookmark:Text3'><u><=
span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u></span><span
style=3D'mso-bookmark:Text3'><u><span style=3D'font-size:10.0pt;line-height=
:150%;
font-family:Arial;mso-fareast-font-family:"MS Mincho";mso-no-proof:yes'><sp=
an
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></u></span><span style=3D'mso-bookmark:Text3'><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;</span></u><!--[if=
 gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000500540065007800740033000000000000000000000000=
000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Text3'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Text3'></span><span style=3D'mso-bookmark:Text3'></span><span style=3D'font=
-size:
10.0pt;line-height:150%;font-family:Arial'> State </span><a name=3DText4></=
a><!--[if supportFields]><span
style=3D'mso-bookmark:Text4'></span><span style=3D'mso-element:field-begin'=
></span><span
style=3D'mso-bookmark:Text4'><u><span style=3D'font-size:10.0pt;line-height=
:150%;
font-family:Arial'><span style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT <=
/span></u><span
style=3D'mso-element:field-separator'></span></span><![endif]--><span
style=3D'mso-bookmark:Text4'></span><span style=3D'mso-bookmark:Text4'><u><=
span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u></span><span
style=3D'mso-bookmark:Text4'><u><span style=3D'font-size:10.0pt;line-height=
:150%;
font-family:Arial;mso-fareast-font-family:"MS Mincho";mso-no-proof:yes'><sp=
an
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></u></span><span style=3D'mso-bookmark:Text4'><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;</span></u><!--[if=
 gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000500540065007800740034000000000000000000000000=
000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Text4'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Text4'></span><span style=3D'mso-bookmark:Text4'></span><span style=3D'font=
-size:
10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>Zip </span><a name=3DText5><=
/a><!--[if supportFields]><span
style=3D'mso-bookmark:Text5'></span><span style=3D'mso-element:field-begin'=
></span><span
style=3D'mso-bookmark:Text5'><u><span style=3D'font-size:10.0pt;line-height=
:150%;
font-family:Arial'><span style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT <=
/span></u><span
style=3D'mso-element:field-separator'></span></span><![endif]--><span
style=3D'mso-bookmark:Text5'></span><span style=3D'mso-bookmark:Text5'><u><=
span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u></span><span
style=3D'mso-bookmark:Text5'><u><span style=3D'font-size:10.0pt;line-height=
:150%;
font-family:Arial;mso-fareast-font-family:"MS Mincho";mso-no-proof:yes'><sp=
an
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></u></span><span style=3D'mso-bookmark:Text5'><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;</span></u><!--[if=
 gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000500540065007800740035000000000000000000000000=
000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Text5'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Text5'></span><span style=3D'mso-bookmark:Text5'></span><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p></o:p></=
span></u></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Phone </span>=
<a
name=3DText10></a><!--[if supportFields]><span style=3D'mso-bookmark:Text10=
'></span><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Text10=
'><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </span></u><span
style=3D'mso-element:field-separator'></span></span><![endif]--><span
style=3D'mso-bookmark:Text10'></span><span style=3D'mso-bookmark:Text10'><u=
><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u></span><span
style=3D'mso-bookmark:Text10'><u><span style=3D'font-size:10.0pt;line-heigh=
t:150%;
font-family:Arial;mso-fareast-font-family:"MS Mincho";mso-no-proof:yes'><sp=
an
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></u></span><span style=3D'mso-bookmark:Text10'><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;</span></u><!--[if=
 gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003000000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Text10'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Text10'></span><span style=3D'mso-bookmark:Text10'></span><span style=3D'fo=
nt-size:
10.0pt;line-height:150%;font-family:Arial'> (</span><!--[if supportFields]>=
<span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u> FORMTEXT </u><span style=3D'ms=
o-element:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;</span></u><=
span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Hm<span
style=3D'mso-spacerun:yes'>&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;</span></u><=
span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Cell<span
style=3D'mso-spacerun:yes'>&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;</span></u><=
span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Work)<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>Alt #<span
style=3D'mso-spacerun:yes'>&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;</span=
></u><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial;mso-fareast-fo=
nt-family:
"MS Mincho";mso-no-proof:yes'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;
</span></span></u><u><span style=3D'font-size:10.0pt;line-height:150%;font-=
family:
"MS Mincho";mso-ascii-font-family:Arial;mso-bidi-font-family:Arial;mso-no-p=
roof:
yes'>&nbsp;</span></u><span style=3D'font-size:10.0pt;line-height:150%;
font-family:Arial'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp; </span>(</span><!--[if supportFields]><sp=
an
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u> FORMTEXT </u><span style=3D'ms=
o-element:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;</span></u><=
span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Hm<span
style=3D'mso-spacerun:yes'>&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;</span></u><=
span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Cell<span
style=3D'mso-spacerun:yes'>&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;</span></u><=
span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Work)<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>E-mail </span=
><a
name=3DText12></a><!--[if supportFields]><span style=3D'mso-bookmark:Text12=
'></span><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Text12=
'><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </span></u><span
style=3D'mso-element:field-separator'></span></span><![endif]--><span
style=3D'mso-bookmark:Text12'></span><span style=3D'mso-bookmark:Text12'><u=
><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u></span><span
style=3D'mso-bookmark:Text12'><u><span style=3D'font-size:10.0pt;line-heigh=
t:150%;
font-family:Arial;mso-fareast-font-family:"MS Mincho";mso-no-proof:yes'><sp=
an
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></u></span><span style=3D'mso-bookmark:Text12'><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;</span></u><!--[if=
 gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003200000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Text12'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Text12'></span><span style=3D'mso-bookmark:Text12'></span><span style=3D'fo=
nt-size:
10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Best=
 Time
To Contact You </span><a name=3DText13></a><!--[if supportFields]><span
style=3D'mso-bookmark:Text13'></span><span style=3D'mso-element:field-begin=
'></span><span
style=3D'mso-bookmark:Text13'><u><span style=3D'font-size:10.0pt;line-heigh=
t:150%;
font-family:Arial'><span style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT <=
/span></u><span
style=3D'mso-element:field-separator'></span></span><![endif]--><span
style=3D'mso-bookmark:Text13'></span><span style=3D'mso-bookmark:Text13'><u=
><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u></span><span
style=3D'mso-bookmark:Text13'><u><span style=3D'font-size:10.0pt;line-heigh=
t:150%;
font-family:Arial;mso-fareast-font-family:"MS Mincho";mso-no-proof:yes'><sp=
an
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;
</span></span></u></span><span style=3D'mso-bookmark:Text13'><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;</span></u><!--[if=
 gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003300000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Text13'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Text13'></span><span style=3D'mso-bookmark:Text13'></span><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p></o:p></=
span></u></p>

<h2 align=3Dleft style=3D'text-align:left;line-height:150%'><span style=3D'=
font-size:
8.0pt;line-height:150%'><o:p><span style=3D'text-decoration:none'>&nbsp;</s=
pan></o:p></span></h2>

<h2 align=3Dleft style=3D'text-align:left'><span style=3D'font-size:10.0pt'=
>Emergency
Contact Information (must be a person over 18 years old with the ability to
drive or make decisions for you in an emergency)<o:p></o:p></span></h2>

<p class=3DMsoNormal><o:p>&nbsp;</o:p></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Name </span><a
name=3DText15></a><!--[if supportFields]><span style=3D'mso-bookmark:Text15=
'></span><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Text15=
'><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </span></u><span
style=3D'mso-element:field-separator'></span></span><![endif]--><span
style=3D'mso-bookmark:Text15'></span><span style=3D'mso-bookmark:Text15'><u=
><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u></span><span
style=3D'mso-bookmark:Text15'><u><span style=3D'font-size:10.0pt;line-heigh=
t:150%;
font-family:Arial;mso-fareast-font-family:"MS Mincho";mso-no-proof:yes'><sp=
an
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></u></span><span style=3D'mso-bookmark:Text15'><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;</span></u><!--[if=
 gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003500000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Text15'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Text15'></span><span style=3D'mso-bookmark:Text15'></span><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p></o:p></=
span></u></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Day Phone </s=
pan><a
name=3DText18></a><!--[if supportFields]><span style=3D'mso-bookmark:Text18=
'></span><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Text18=
'><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </span></u><span
style=3D'mso-element:field-separator'></span></span><![endif]--><span
style=3D'mso-bookmark:Text18'></span><span style=3D'mso-bookmark:Text18'><u=
><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u></span><span
style=3D'mso-bookmark:Text18'><u><span style=3D'font-size:10.0pt;line-heigh=
t:150%;
font-family:Arial;mso-fareast-font-family:"MS Mincho";mso-no-proof:yes'><sp=
an
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></u></span><span style=3D'mso-bookmark:Text18'><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;</span></u><!--[if=
 gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Text18'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Text18'></span><span style=3D'mso-bookmark:Text18'></span><span style=3D'fo=
nt-size:
10.0pt;line-height:150%;font-family:Arial'> ( ___Home<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/ ___ <st1:place w:st=3D"on"><st1:=
City
 w:st=3D"on">Mobile</st1:City></st1:place><span style=3D'mso-spacerun:yes'>=
&nbsp;
</span>/ ___ Work )<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Evening Phone=
 </span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;</span=
></u><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial;mso-fareast-fo=
nt-family:
"MS Mincho";mso-no-proof:yes'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></u><u><span style=3D'font-size:10.0pt;line-height:150%;font-=
family:
"MS Mincho";mso-ascii-font-family:Arial;mso-bidi-font-family:Arial;mso-no-p=
roof:
yes'>&nbsp;</span></u><span style=3D'font-size:10.0pt;line-height:150%;
font-family:Arial'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp; </span>( ___Home<span
style=3D'mso-spacerun:yes'>&nbsp; </span>/<span style=3D'mso-spacerun:yes'>=
&nbsp;
</span>___Mobile<span style=3D'mso-spacerun:yes'>&nbsp; </span>/<span
style=3D'mso-spacerun:yes'>&nbsp; </span>___Work )<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:8.0pt;line-height:150%;font-family:Arial'><o:p>&nbsp;</o=
:p></span></p>

<h2 align=3Dleft style=3D'text-align:left;line-height:150%'><span style=3D'=
font-size:
10.0pt;line-height:150%'>Employment Information<o:p></o:p></span></h2>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Work outside =
the
home?<span style=3D'mso-spacerun:yes'>&nbsp; </span></span><!--[if supportF=
ields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;</span></u><=
span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'> Yes<span
style=3D'mso-spacerun:yes'>&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;</span></u><=
span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'> No<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>Contact at work?<span
style=3D'mso-spacerun:yes'>&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;</span></u><=
span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'> Yes<span
style=3D'mso-spacerun:yes'>&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;</span></u><=
span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'> No<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span>Ph#: </span><!--=
[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;</span></u><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial;mso-fareast-fo=
nt-family:
"MS Mincho";mso-hansi-font-family:"MS Mincho";mso-no-proof:yes'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;
</span></span></u><u><span style=3D'font-size:10.0pt;line-height:150%;font-=
family:
"MS Mincho";mso-ascii-font-family:Arial;mso-bidi-font-family:Arial;mso-no-p=
roof:
yes'>&nbsp;</span></u><span style=3D'font-size:10.0pt;line-height:150%;
font-family:Arial'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p></o:p></=
span></p>

<h2 align=3Dleft style=3D'text-align:left;line-height:150%'><span style=3D'=
font-size:
8.0pt;line-height:150%'><o:p><span style=3D'text-decoration:none'>&nbsp;</s=
pan></o:p></span></h2>

<h2 align=3Dleft style=3D'text-align:left;line-height:150%'><span style=3D'=
font-size:
10.0pt;line-height:150%'>Interview Questions<o:p></o:p></span></h2>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Why do you wa=
nt to
volunteer for Purrrfect Friends Feline Shelter And Adoptions?<o:p></o:p></s=
pan></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><!--[if s=
upportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;</span=
></u><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial;mso-fareast-fo=
nt-family:
"MS Mincho";mso-no-proof:yes'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;
</span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;</span></span></u><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p></o:p></=
span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><!--[if s=
upportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;</span=
></u><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial;mso-fareast-fo=
nt-family:
"MS Mincho";mso-no-proof:yes'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;
</span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;</span></span></u><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><u><o:p></o:p=
></u></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Describe any
previous volunteer experience? <o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:56.0pt'><!--[if su=
pportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;</span=
></u><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial;mso-fareast-fo=
nt-family:
"MS Mincho";mso-no-proof:yes'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></span></u><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-asci=
i-font-family:
Arial;mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p></o:p></=
span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><!--[if s=
upportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;</span=
></u><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial;mso-fareast-fo=
nt-family:
"MS Mincho";mso-no-proof:yes'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
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sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;
</span></span></u><u><span style=3D'font-size:10.0pt;line-height:150%;font-=
family:
"MS Mincho";mso-ascii-font-family:Arial;mso-bidi-font-family:Arial;mso-no-p=
roof:
yes'>&nbsp;</span></u><span style=3D'font-size:10.0pt;line-height:150%;
font-family:Arial'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p></o:p></=
span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p>&nbsp;</=
o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Do you have a=
ny
limits on the type of volunteer work you can do? <span style=3D'mso-tab-cou=
nt:
1'> </span></span><!--[if supportFields]><span style=3D'font-size:10.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-begin'=
></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Yes<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span></span><!--[if support=
Fields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'> No<o:p></o:p=
></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>If yes, Please
describe<span style=3D'mso-spacerun:yes'>&nbsp; </span></span><!--[if suppo=
rtFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;</span=
></u><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial;mso-fareast-fo=
nt-family:
"MS Mincho";mso-no-proof:yes'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></u><u><span style=3D'font-size:10.0pt;line-height:150%;font-=
family:
"MS Mincho";mso-ascii-font-family:Arial;mso-bidi-font-family:Arial;mso-no-p=
roof:
yes'>&nbsp;</span></u><span style=3D'font-size:10.0pt;line-height:150%;
font-family:Arial'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p></o:p></=
span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Any known all=
ergies
including cats/kittens, chemicals, and/or detergents? <span style=3D'mso-ta=
b-count:
1'> </span></span><!--[if supportFields]><span style=3D'font-size:10.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-begin'=
></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Yes<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp; </span></span><!--[if s=
upportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp; </span>No<o:p></o:p></span></p>

<div style=3D'mso-element:para-border-div;border:none;border-bottom:solid w=
indowtext 1.5pt;
padding:0in 0in 0in 0in'>

<p class=3DMsoNormal style=3D'line-height:150%;mso-pagination:none;tab-stop=
s:90.65pt;
border:none;mso-border-bottom-alt:solid windowtext 1.5pt;padding:0in;
mso-padding-alt:0in 0in 0in 0in'><span style=3D'font-size:10.0pt;line-heigh=
t:
150%;font-family:Arial'>If yes, please list<span
style=3D'mso-spacerun:yes'>&nbsp; </span><u><span style=3D'mso-field-code:"=
 FORMTEXT "'><span
style=3D'font-family:"MS Mincho";mso-ascii-font-family:Arial;mso-no-proof:y=
es'>&nbsp;&nbsp;&nbsp;&nbsp;</span><span
style=3D'mso-fareast-font-family:"MS Mincho";mso-no-proof:yes'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span><span style=3D'font-family:"MS Mincho";mso-ascii-font-family:=
Arial;
mso-no-proof:yes'>&nbsp;</span><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><o:p></o:p></u></span></p>

</div>

<h3 align=3Dleft style=3D'text-align:left'><span style=3D'font-size:8.0pt;l=
ine-height:
150%'><o:p><span style=3D'text-decoration:none'>&nbsp;</span></o:p></span><=
/h3>

<h3 align=3Dleft style=3D'text-align:left;line-height:normal'><span
style=3D'font-size:10.0pt'>Volunteer Opportunities<o:p></o:p></span></h3>

<p class=3DMsoBodyText style=3D'line-height:normal'><span style=3D'font-siz=
e:10.0pt'>Note:
<i>PLEASE CHECK ALL YOU WOULD VOLUNTEER TO DO OR ARE INTERESTED ABOUT LEARN=
ING<o:p></o:p></i></span></p>

<p class=3DMsoBodyText style=3D'tab-stops:90.65pt 279.0pt 297.0pt'><u><span
style=3D'font-size:10.0pt;line-height:150%'>Shelter &#8211; Indoors</span><=
/u><span
style=3D'font-size:10.0pt;line-height:150%'><span style=3D'mso-tab-count:2'=
>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp; </span><u>Shelter
- Outdoors<o:p></o:p></u></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt 279.0pt 29=
7.0pt'><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check9=
8'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check98'></span><![endif]--><span style=3D'mso-bookma=
rk:Check98'><![if !supportNestedAnchors]><a
name=3DCheck98></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003900380000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check98'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check98'></span><span style=3D'mso-bookmark:Check98'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;</span>Wash and disinfect food/water
dishes<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
03'>
FORMCHECKBOX </span></span><span style=3D'mso-bookmark:Check103'></span><![=
endif]--><span
style=3D'mso-bookmark:Check103'><![if !supportNestedAnchors]><a name=3DChec=
k103></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400080043006800650063006B003100300033000000000000=
00000000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check103'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check103'></span><span style=3D'mso-bookmark:Check103'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp; </span>Yard work/weeding, mowing, trimming=
, etc<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt 279.0pt 29=
7.0pt'><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check9=
9'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check99'></span><![endif]--><span style=3D'mso-bookma=
rk:Check99'><![if !supportNestedAnchors]><a
name=3DCheck99></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003900390000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check99'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check99'></span><span style=3D'mso-bookmark:Check99'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;</span>Wash and disinfect kitty litt=
er
boxes<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
04'>
FORMCHECKBOX </span></span><span style=3D'mso-bookmark:Check104'></span><![=
endif]--><span
style=3D'mso-bookmark:Check104'><![if !supportNestedAnchors]><a name=3DChec=
k104></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400080043006800650063006B003100300034000000000000=
00000000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check104'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check104'></span><span style=3D'mso-bookmark:Check104'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp; </span>Building maintenance<o:p></o:p></sp=
an></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt 279.0pt 29=
7.0pt'><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
00'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check100'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check100'><![if !supportNestedAnchors]><a name=3DCheck100></a><![endif]><!-=
-[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400080043006800650063006B003100300030000000000000=
00000000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check100'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check100'></span><span style=3D'mso-bookmark:Check100'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;</span>Clean cages/community rooms, =
scoop
litter boxes<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></=
p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt 279.0pt 29=
7.0pt'><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
01'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check101'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check101'><![if !supportNestedAnchors]><a name=3DCheck101></a><![endif]><!-=
-[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400080043006800650063006B003100300031000000000000=
00000000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check101'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check101'></span><span style=3D'mso-bookmark:Check101'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;</span>Vacuum and mop shelter floors=
/walls
<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt 279.0pt 29=
7.0pt'><!--[if supportFields]><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
02'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span><![endif]--><sp=
an
style=3D'mso-bookmark:Check102'><![if !supportNestedAnchors]><a name=3DChec=
k102></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400080043006800650063006B003100300032000000000000=
00000000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check102'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check102'></span><span style=3D'mso-spacerun:yes'>&nbsp;&nbsp;</span>Laundr=
y<span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p></o:p></=
span></p>

<h4 style=3D'tab-stops:90.65pt 3.5in 297.0pt'><u><span style=3D'font-size:1=
0.0pt;
line-height:150%'>Feline Social Welfare<o:p></o:p></span></u></h4>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt 3.5in 297.=
0pt'><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
05'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check105'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check105'><![if !supportNestedAnchors]><a name=3DCheck105></a><![endif]><!-=
-[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400080043006800650063006B003100300035000000000000=
00000000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check105'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check105'></span><span style=3D'mso-bookmark:Check105'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>Play/exercise with the cats in the
play/community room(s)<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>=
</span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
06'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check106'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check106'><![if !supportNestedAnchors]><a name=3DCheck106></a><![endif]><!-=
-[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400080043006800650063006B003100300036000000000000=
00000000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check106'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check106'></span><span style=3D'mso-bookmark:Check106'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Grooming (bat=
hing,
brushing, nail trimming, etc)<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt 3.5in 297.=
0pt'><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
08'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check108'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check108'><![if !supportNestedAnchors]><a name=3DCheck108></a><![endif]><!-=
-[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400080043006800650063006B003100300038000000000000=
00000000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check108'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check108'></span><span style=3D'mso-bookmark:Check108'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>Be a special friend to a shy/timid =
cat
for at least 4-5 hours per week<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span></span><!--[if support=
Fields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
07'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check107'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check107'><![if !supportNestedAnchors]><a name=3DCheck107></a><![endif]><!-=
-[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400080043006800650063006B003100300037000000000000=
00000000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check107'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check107'></span><span style=3D'mso-bookmark:Check107'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>Work with shy cats<o:p></o:p></span=
></p>

<h4 style=3D'tab-stops:90.65pt 3.5in 297.0pt'><u><span style=3D'font-size:1=
0.0pt;
line-height:150%'>Adoption Program<o:p></o:p></span></u></h4>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt 207.0pt 29=
7.0pt'><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
09'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check109'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check109'><![if !supportNestedAnchors]><a name=3DCheck109></a><![endif]><!-=
-[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400080043006800650063006B003100300039000000000000=
00000000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check109'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check109'></span><span style=3D'mso-bookmark:Check109'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;</span>Consider fostering cat until
adopted<span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
10'>
FORMCHECKBOX </span></span><span style=3D'mso-bookmark:Check110'></span><![=
endif]--><span
style=3D'mso-bookmark:Check110'><![if !supportNestedAnchors]><a name=3DChec=
k110></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400080043006800650063006B003100310030000000000000=
00000000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check110'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check110'></span><span style=3D'mso-bookmark:Check110'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;</span><span
style=3D'mso-spacerun:yes'>&nbsp;</span>Write clever and eye captioning
descriptions for adoptions<o:p></o:p></span></p>

<h4 style=3D'tab-stops:90.65pt 3.5in 297.0pt'><u><span style=3D'font-size:1=
0.0pt;
line-height:150%'>Fundraising<o:p></o:p></span></u></h4>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt 3.5in 297.=
0pt'><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
11'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check111'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check111'><![if !supportNestedAnchors]><a name=3DCheck111></a><![endif]><!-=
-[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400080043006800650063006B003100310031000000000000=
00000000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check111'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check111'></span><span style=3D'mso-bookmark:Check111'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;</span>Staff special events; Promote
Mission Statement; Recruit volunteers<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt 3.5in 297.=
0pt'><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
12'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check112'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check112'><![if !supportNestedAnchors]><a name=3DCheck112></a><![endif]><!-=
-[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400080043006800650063006B003100310032000000000000=
00000000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check112'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check112'></span><span style=3D'mso-bookmark:Check112'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;</span>Participate in fundraising
activities<o:p></o:p></span></p>

<h3 align=3Dleft style=3D'text-align:left;line-height:normal'><span
style=3D'font-size:10.0pt'>Schedule and Availability<o:p></o:p></span></h3>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><b><span style=3D'font-siz=
e:10.0pt;
font-family:Arial'>Please indicate your availability below. We ask that you
volunteer for at least a two-hour block of time at least twice per month:<o=
:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'tab-stops:center 117.0pt 2.25in 207.0pt 3.5in=
 297.0pt 4.75in 5.25in 423.0pt left 6.25in'><span
style=3D'font-size:10.0pt;font-family:Arial'><span style=3D'mso-tab-count:9=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </s=
pan>#
times<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:center 1.5in 153.0pt 2.75in 243.0pt=
 4.0in 333.0pt 5.25in 423.0pt left 6.25in'><span
style=3D'font-size:10.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;</span><span style=3D'mso-tab-count:1'>&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span
style=3D'mso-spacerun:yes'>&nbsp;</span>Sun<span style=3D'mso-tab-count:1'>=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Mon<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span>Tue<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span>Wed<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; =
</span>Thur<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span>Fri<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span>Sat<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Weekl=
y<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>month<o:p></o:p></span>=
</p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:right 1.0in center=
 1.5in 153.0pt 2.75in 243.0pt 4.0in 333.0pt 5.25in 423.0pt left 6.25in 6.75=
in'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>8:00-10:00am<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check7=
'>
FORMCHECKBOX </span></span><span style=3D'mso-bookmark:Check7'></span><![en=
dif]--><span
style=3D'mso-bookmark:Check7'><![if !supportNestedAnchors]><a name=3DCheck7=
></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400060043006800650063006B003700000000000000000000=
000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check7'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check7'></span><span style=3D'mso-bookmark:Check7'></span><span style=3D'fo=
nt-size:
10.0pt;line-height:150%;font-family:Arial'><span style=3D'mso-tab-count:1'>=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>=
<!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check8=
'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check8'></span><![endif]--><span style=3D'mso-bookmar=
k:Check8'><![if !supportNestedAnchors]><a
name=3DCheck8></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400060043006800650063006B003800000000000000000000=
000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check8'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check8'></span><span style=3D'mso-bookmark:Check8'></span><span style=3D'fo=
nt-size:
10.0pt;line-height:150%;font-family:Arial'><span style=3D'mso-tab-count:1'>=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>=
<!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check9=
'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check9'></span><![endif]--><span style=3D'mso-bookmar=
k:Check9'><![if !supportNestedAnchors]><a
name=3DCheck9></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400060043006800650063006B003900000000000000000000=
000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check9'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check9'></span><span style=3D'mso-bookmark:Check9'></span><span style=3D'fo=
nt-size:
10.0pt;line-height:150%;font-family:Arial'><span style=3D'mso-tab-count:1'>=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span>=
<!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
0'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check10'></span><![endif]--><span style=3D'mso-bookma=
rk:Check10'><![if !supportNestedAnchors]><a
name=3DCheck10></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003100300000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check10'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check10'></span><span style=3D'mso-bookmark:Check10'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
1'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check11'></span><![endif]--><span style=3D'mso-bookma=
rk:Check11'><![if !supportNestedAnchors]><a
name=3DCheck11></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003100310000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check11'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check11'></span><span style=3D'mso-bookmark:Check11'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
2'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check12'></span><![endif]--><span style=3D'mso-bookma=
rk:Check12'><![if !supportNestedAnchors]><a
name=3DCheck12></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003100320000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check12'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check12'></span><span style=3D'mso-bookmark:Check12'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check7=
3'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check73'></span><![endif]--><span style=3D'mso-bookma=
rk:Check73'><![if !supportNestedAnchors]><a
name=3DCheck73></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003700330000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check73'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check73'></span><span style=3D'mso-bookmark:Check73'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check8=
4'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check84'></span><![endif]--><span style=3D'mso-bookma=
rk:Check84'><![if !supportNestedAnchors]><a
name=3DCheck84></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003800340000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check84'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check84'></span><span style=3D'mso-bookmark:Check84'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></spa=
n><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><u><o:p></o:p=
></u></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:right 1.0in center=
 1.5in 153.0pt 2.75in 243.0pt 4.0in 333.0pt 5.25in 423.0pt left 6.25in 6.75=
in'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>9:00-11:00pm<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
3'>
FORMCHECKBOX </span></span><span style=3D'mso-bookmark:Check13'></span><![e=
ndif]--><span
style=3D'mso-bookmark:Check13'><![if !supportNestedAnchors]><a name=3DCheck=
13></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003100330000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check13'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check13'></span><span style=3D'mso-bookmark:Check13'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
4'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check14'></span><![endif]--><span style=3D'mso-bookma=
rk:Check14'><![if !supportNestedAnchors]><a
name=3DCheck14></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003100340000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check14'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check14'></span><span style=3D'mso-bookmark:Check14'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
5'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check15'></span><![endif]--><span style=3D'mso-bookma=
rk:Check15'><![if !supportNestedAnchors]><a
name=3DCheck15></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003100350000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check15'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check15'></span><span style=3D'mso-bookmark:Check15'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
6'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check16'></span><![endif]--><span style=3D'mso-bookma=
rk:Check16'><![if !supportNestedAnchors]><a
name=3DCheck16></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003100360000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check16'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check16'></span><span style=3D'mso-bookmark:Check16'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
7'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check17'></span><![endif]--><span style=3D'mso-bookma=
rk:Check17'><![if !supportNestedAnchors]><a
name=3DCheck17></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003100370000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check17'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check17'></span><span style=3D'mso-bookmark:Check17'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
8'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check18'></span><![endif]--><span style=3D'mso-bookma=
rk:Check18'><![if !supportNestedAnchors]><a
name=3DCheck18></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003100380000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check18'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check18'></span><span style=3D'mso-bookmark:Check18'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check7=
4'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check74'></span><![endif]--><span style=3D'mso-bookma=
rk:Check74'><![if !supportNestedAnchors]><a
name=3DCheck74></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003700340000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check74'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check74'></span><span style=3D'mso-bookmark:Check74'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check8=
5'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check85'></span><![endif]--><span style=3D'mso-bookma=
rk:Check85'><![if !supportNestedAnchors]><a
name=3DCheck85></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003800350000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check85'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check85'></span><span style=3D'mso-bookmark:Check85'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></spa=
n><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><u><o:p></o:p=
></u></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:right 1.0in center=
 1.5in 153.0pt 2.75in 243.0pt 4.0in 333.0pt 5.25in 423.0pt left 6.25in 470.=
0pt 6.75in'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp; </span>10:00-12:00pm<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check1=
9'>
FORMCHECKBOX </span></span><span style=3D'mso-bookmark:Check19'></span><![e=
ndif]--><span
style=3D'mso-bookmark:Check19'><![if !supportNestedAnchors]><a name=3DCheck=
19></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003100390000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check19'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check19'></span><span style=3D'mso-bookmark:Check19'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check2=
0'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check20'></span><![endif]--><span style=3D'mso-bookma=
rk:Check20'><![if !supportNestedAnchors]><a
name=3DCheck20></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003200300000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check20'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check20'></span><span style=3D'mso-bookmark:Check20'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check2=
1'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check21'></span><![endif]--><span style=3D'mso-bookma=
rk:Check21'><![if !supportNestedAnchors]><a
name=3DCheck21></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003200310000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check21'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check21'></span><span style=3D'mso-bookmark:Check21'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check2=
2'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check22'></span><![endif]--><span style=3D'mso-bookma=
rk:Check22'><![if !supportNestedAnchors]><a
name=3DCheck22></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003200320000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check22'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check22'></span><span style=3D'mso-bookmark:Check22'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check2=
3'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check23'></span><![endif]--><span style=3D'mso-bookma=
rk:Check23'><![if !supportNestedAnchors]><a
name=3DCheck23></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003200330000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check23'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check23'></span><span style=3D'mso-bookmark:Check23'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check2=
4'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check24'></span><![endif]--><span style=3D'mso-bookma=
rk:Check24'><![if !supportNestedAnchors]><a
name=3DCheck24></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003200340000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check24'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check24'></span><span style=3D'mso-bookmark:Check24'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check7=
5'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check75'></span><![endif]--><span style=3D'mso-bookma=
rk:Check75'><![if !supportNestedAnchors]><a
name=3DCheck75></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003700350000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check75'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check75'></span><span style=3D'mso-bookmark:Check75'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check8=
6'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check86'></span><![endif]--><span style=3D'mso-bookma=
rk:Check86'><![if !supportNestedAnchors]><a
name=3DCheck86></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003800360000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check86'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check86'></span><span style=3D'mso-bookmark:Check86'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></spa=
n><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><u><o:p></o:p=
></u></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:right 1.0in center=
 1.5in 153.0pt 2.75in 243.0pt 4.0in 333.0pt 5.25in 423.0pt left 6.25in 6.75=
in'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>11:00-1:00pm<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check2=
5'>
FORMCHECKBOX </span></span><span style=3D'mso-bookmark:Check25'></span><![e=
ndif]--><span
style=3D'mso-bookmark:Check25'><![if !supportNestedAnchors]><a name=3DCheck=
25></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003200350000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check25'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check25'></span><span style=3D'mso-bookmark:Check25'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check2=
6'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check26'></span><![endif]--><span style=3D'mso-bookma=
rk:Check26'><![if !supportNestedAnchors]><a
name=3DCheck26></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003200360000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check26'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check26'></span><span style=3D'mso-bookmark:Check26'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check2=
7'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check27'></span><![endif]--><span style=3D'mso-bookma=
rk:Check27'><![if !supportNestedAnchors]><a
name=3DCheck27></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003200370000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check27'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check27'></span><span style=3D'mso-bookmark:Check27'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check2=
8'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check28'></span><![endif]--><span style=3D'mso-bookma=
rk:Check28'><![if !supportNestedAnchors]><a
name=3DCheck28></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003200380000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check28'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check28'></span><span style=3D'mso-bookmark:Check28'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check2=
9'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check29'></span><![endif]--><span style=3D'mso-bookma=
rk:Check29'><![if !supportNestedAnchors]><a
name=3DCheck29></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003200390000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check29'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check29'></span><span style=3D'mso-bookmark:Check29'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check3=
0'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check30'></span><![endif]--><span style=3D'mso-bookma=
rk:Check30'><![if !supportNestedAnchors]><a
name=3DCheck30></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003300300000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check30'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check30'></span><span style=3D'mso-bookmark:Check30'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check7=
6'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check76'></span><![endif]--><span style=3D'mso-bookma=
rk:Check76'><![if !supportNestedAnchors]><a
name=3DCheck76></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003700360000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check76'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check76'></span><span style=3D'mso-bookmark:Check76'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check8=
7'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check87'></span><![endif]--><span style=3D'mso-bookma=
rk:Check87'><![if !supportNestedAnchors]><a
name=3DCheck87></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003800370000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check87'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check87'></span><span style=3D'mso-bookmark:Check87'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></spa=
n><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><u><o:p></o:p=
></u></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:right 1.0in center=
 1.5in 153.0pt 2.75in 243.0pt 4.0in 333.0pt 5.25in 423.0pt left 6.25in 6.75=
in'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp; </span>12:00-2:00pm<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check3=
1'>
FORMCHECKBOX </span></span><span style=3D'mso-bookmark:Check31'></span><![e=
ndif]--><span
style=3D'mso-bookmark:Check31'><![if !supportNestedAnchors]><a name=3DCheck=
31></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003300310000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check31'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check31'></span><span style=3D'mso-bookmark:Check31'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check3=
2'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check32'></span><![endif]--><span style=3D'mso-bookma=
rk:Check32'><![if !supportNestedAnchors]><a
name=3DCheck32></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003300320000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check32'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check32'></span><span style=3D'mso-bookmark:Check32'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check3=
3'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check33'></span><![endif]--><span style=3D'mso-bookma=
rk:Check33'><![if !supportNestedAnchors]><a
name=3DCheck33></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003300330000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check33'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check33'></span><span style=3D'mso-bookmark:Check33'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check3=
4'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check34'></span><![endif]--><span style=3D'mso-bookma=
rk:Check34'><![if !supportNestedAnchors]><a
name=3DCheck34></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003300340000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check34'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check34'></span><span style=3D'mso-bookmark:Check34'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check3=
5'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check35'></span><![endif]--><span style=3D'mso-bookma=
rk:Check35'><![if !supportNestedAnchors]><a
name=3DCheck35></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003300350000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check35'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check35'></span><span style=3D'mso-bookmark:Check35'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check3=
6'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check36'></span><![endif]--><span style=3D'mso-bookma=
rk:Check36'><![if !supportNestedAnchors]><a
name=3DCheck36></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003300360000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check36'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check36'></span><span style=3D'mso-bookmark:Check36'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check7=
7'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check77'></span><![endif]--><span style=3D'mso-bookma=
rk:Check77'><![if !supportNestedAnchors]><a
name=3DCheck77></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003700370000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check77'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check77'></span><span style=3D'mso-bookmark:Check77'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check8=
8'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check88'></span><![endif]--><span style=3D'mso-bookma=
rk:Check88'><![if !supportNestedAnchors]><a
name=3DCheck88></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003800380000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check88'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check88'></span><span style=3D'mso-bookmark:Check88'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></spa=
n><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-ascii-font-family:Arial;
mso-bidi-font-family:Arial;mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><u><o:p></o:p=
></u></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:right 1.0in center=
 1.5in 153.0pt 2.75in 243.0pt 4.0in 333.0pt 5.25in 423.0pt left 6.25in 6.75=
in'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>1:00-3:00pm=
<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check3=
7'>
FORMCHECKBOX </span></span><span style=3D'mso-bookmark:Check37'></span><![e=
ndif]--><span
style=3D'mso-bookmark:Check37'><![if !supportNestedAnchors]><a name=3DCheck=
37></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003300370000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check37'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check37'></span><span style=3D'mso-bookmark:Check37'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check3=
8'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check38'></span><![endif]--><span style=3D'mso-bookma=
rk:Check38'><![if !supportNestedAnchors]><a
name=3DCheck38></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003300380000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check38'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check38'></span><span style=3D'mso-bookmark:Check38'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check3=
9'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check39'></span><![endif]--><span style=3D'mso-bookma=
rk:Check39'><![if !supportNestedAnchors]><a
name=3DCheck39></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003300390000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check39'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check39'></span><span style=3D'mso-bookmark:Check39'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check4=
0'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check40'></span><![endif]--><span style=3D'mso-bookma=
rk:Check40'><![if !supportNestedAnchors]><a
name=3DCheck40></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003400300000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check40'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check40'></span><span style=3D'mso-bookmark:Check40'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check4=
1'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check41'></span><![endif]--><span style=3D'mso-bookma=
rk:Check41'><![if !supportNestedAnchors]><a
name=3DCheck41></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003400310000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check41'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check41'></span><span style=3D'mso-bookmark:Check41'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check4=
2'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check42'></span><![endif]--><span style=3D'mso-bookma=
rk:Check42'><![if !supportNestedAnchors]><a
name=3DCheck42></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003400320000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check42'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check42'></span><span style=3D'mso-bookmark:Check42'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check7=
8'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check78'></span><![endif]--><span style=3D'mso-bookma=
rk:Check78'><![if !supportNestedAnchors]><a
name=3DCheck78></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003700380000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check78'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check78'></span><span style=3D'mso-bookmark:Check78'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check8=
9'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check89'></span><![endif]--><span style=3D'mso-bookma=
rk:Check89'><![if !supportNestedAnchors]><a
name=3DCheck89></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003800390000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check89'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check89'></span><span style=3D'mso-bookmark:Check89'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></spa=
n><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-bidi-font-family:"MS Mincho";
mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><u><o:p></o:p=
></u></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:right 1.0in center=
 1.5in 153.0pt 2.75in 243.0pt 4.0in 333.0pt 5.25in 423.0pt left 6.25in 6.75=
in'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>2:00-4:00pm=
<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check4=
3'>
FORMCHECKBOX </span></span><span style=3D'mso-bookmark:Check43'></span><![e=
ndif]--><span
style=3D'mso-bookmark:Check43'><![if !supportNestedAnchors]><a name=3DCheck=
43></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003400330000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check43'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check43'></span><span style=3D'mso-bookmark:Check43'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check4=
4'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check44'></span><![endif]--><span style=3D'mso-bookma=
rk:Check44'><![if !supportNestedAnchors]><a
name=3DCheck44></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003400340000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check44'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check44'></span><span style=3D'mso-bookmark:Check44'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check4=
5'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check45'></span><![endif]--><span style=3D'mso-bookma=
rk:Check45'><![if !supportNestedAnchors]><a
name=3DCheck45></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003400350000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check45'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check45'></span><span style=3D'mso-bookmark:Check45'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check4=
6'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check46'></span><![endif]--><span style=3D'mso-bookma=
rk:Check46'><![if !supportNestedAnchors]><a
name=3DCheck46></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003400360000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check46'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check46'></span><span style=3D'mso-bookmark:Check46'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check4=
7'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check47'></span><![endif]--><span style=3D'mso-bookma=
rk:Check47'><![if !supportNestedAnchors]><a
name=3DCheck47></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003400370000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check47'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check47'></span><span style=3D'mso-bookmark:Check47'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check4=
8'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check48'></span><![endif]--><span style=3D'mso-bookma=
rk:Check48'><![if !supportNestedAnchors]><a
name=3DCheck48></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003400380000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check48'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check48'></span><span style=3D'mso-bookmark:Check48'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check7=
9'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check79'></span><![endif]--><span style=3D'mso-bookma=
rk:Check79'><![if !supportNestedAnchors]><a
name=3DCheck79></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003700390000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check79'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check79'></span><span style=3D'mso-bookmark:Check79'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check9=
0'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check90'></span><![endif]--><span style=3D'mso-bookma=
rk:Check90'><![if !supportNestedAnchors]><a
name=3DCheck90></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003900300000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check90'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check90'></span><span style=3D'mso-bookmark:Check90'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></spa=
n><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-bidi-font-family:"MS Mincho";
mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><u><o:p></o:p=
></u></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:right 1.0in center=
 1.5in 153.0pt 2.75in 243.0pt 4.0in 333.0pt 5.25in 423.0pt left 6.25in 6.75=
in'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>3:00-5:00pm=
<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check4=
9'>
FORMCHECKBOX </span></span><span style=3D'mso-bookmark:Check49'></span><![e=
ndif]--><span
style=3D'mso-bookmark:Check49'><![if !supportNestedAnchors]><a name=3DCheck=
49></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003400390000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check49'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check49'></span><span style=3D'mso-bookmark:Check49'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check5=
0'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check50'></span><![endif]--><span style=3D'mso-bookma=
rk:Check50'><![if !supportNestedAnchors]><a
name=3DCheck50></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003500300000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check50'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check50'></span><span style=3D'mso-bookmark:Check50'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check5=
1'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check51'></span><![endif]--><span style=3D'mso-bookma=
rk:Check51'><![if !supportNestedAnchors]><a
name=3DCheck51></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003500310000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check51'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check51'></span><span style=3D'mso-bookmark:Check51'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check5=
2'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check52'></span><![endif]--><span style=3D'mso-bookma=
rk:Check52'><![if !supportNestedAnchors]><a
name=3DCheck52></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003500320000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check52'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check52'></span><span style=3D'mso-bookmark:Check52'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check5=
3'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check53'></span><![endif]--><span style=3D'mso-bookma=
rk:Check53'><![if !supportNestedAnchors]><a
name=3DCheck53></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003500330000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check53'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check53'></span><span style=3D'mso-bookmark:Check53'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check5=
4'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check54'></span><![endif]--><span style=3D'mso-bookma=
rk:Check54'><![if !supportNestedAnchors]><a
name=3DCheck54></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003500340000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check54'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check54'></span><span style=3D'mso-bookmark:Check54'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check8=
0'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check80'></span><![endif]--><span style=3D'mso-bookma=
rk:Check80'><![if !supportNestedAnchors]><a
name=3DCheck80></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003800300000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check80'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check80'></span><span style=3D'mso-bookmark:Check80'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check9=
1'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check91'></span><![endif]--><span style=3D'mso-bookma=
rk:Check91'><![if !supportNestedAnchors]><a
name=3DCheck91></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003900310000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check91'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check91'></span><span style=3D'mso-bookmark:Check91'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></spa=
n><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-bidi-font-family:"MS Mincho";
mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><u><o:p></o:p=
></u></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:right 1.0in center=
 1.5in 153.0pt 2.75in 243.0pt 4.0in 333.0pt 5.25in 423.0pt left 6.25in 6.75=
in'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>4:00-6:00pm=
<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check5=
5'>
FORMCHECKBOX </span></span><span style=3D'mso-bookmark:Check55'></span><![e=
ndif]--><span
style=3D'mso-bookmark:Check55'><![if !supportNestedAnchors]><a name=3DCheck=
55></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003500350000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check55'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check55'></span><span style=3D'mso-bookmark:Check55'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check5=
6'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check56'></span><![endif]--><span style=3D'mso-bookma=
rk:Check56'><![if !supportNestedAnchors]><a
name=3DCheck56></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003500360000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check56'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check56'></span><span style=3D'mso-bookmark:Check56'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check5=
7'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check57'></span><![endif]--><span style=3D'mso-bookma=
rk:Check57'><![if !supportNestedAnchors]><a
name=3DCheck57></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003500370000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check57'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check57'></span><span style=3D'mso-bookmark:Check57'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check5=
8'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check58'></span><![endif]--><span style=3D'mso-bookma=
rk:Check58'><![if !supportNestedAnchors]><a
name=3DCheck58></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003500380000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check58'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check58'></span><span style=3D'mso-bookmark:Check58'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check5=
9'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check59'></span><![endif]--><span style=3D'mso-bookma=
rk:Check59'><![if !supportNestedAnchors]><a
name=3DCheck59></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003500390000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check59'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check59'></span><span style=3D'mso-bookmark:Check59'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check6=
0'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check60'></span><![endif]--><span style=3D'mso-bookma=
rk:Check60'><![if !supportNestedAnchors]><a
name=3DCheck60></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003600300000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check60'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check60'></span><span style=3D'mso-bookmark:Check60'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check8=
1'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check81'></span><![endif]--><span style=3D'mso-bookma=
rk:Check81'><![if !supportNestedAnchors]><a
name=3DCheck81></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003800310000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check81'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check81'></span><span style=3D'mso-bookmark:Check81'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check9=
2'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check92'></span><![endif]--><span style=3D'mso-bookma=
rk:Check92'><![if !supportNestedAnchors]><a
name=3DCheck92></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003900320000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check92'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check92'></span><span style=3D'mso-bookmark:Check92'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></spa=
n><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-bidi-font-family:"MS Mincho";
mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><u><o:p></o:p=
></u></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:right 1.0in center=
 1.5in 153.0pt 2.75in 243.0pt 4.0in 333.0pt 5.25in 423.0pt left 6.25in 6.75=
in'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>5:00-7:00pm=
<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check6=
1'>
FORMCHECKBOX </span></span><span style=3D'mso-bookmark:Check61'></span><![e=
ndif]--><span
style=3D'mso-bookmark:Check61'><![if !supportNestedAnchors]><a name=3DCheck=
61></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003600310000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check61'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check61'></span><span style=3D'mso-bookmark:Check61'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check6=
2'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check62'></span><![endif]--><span style=3D'mso-bookma=
rk:Check62'><![if !supportNestedAnchors]><a
name=3DCheck62></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003600320000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check62'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check62'></span><span style=3D'mso-bookmark:Check62'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check6=
3'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check63'></span><![endif]--><span style=3D'mso-bookma=
rk:Check63'><![if !supportNestedAnchors]><a
name=3DCheck63></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003600330000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check63'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check63'></span><span style=3D'mso-bookmark:Check63'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check6=
4'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check64'></span><![endif]--><span style=3D'mso-bookma=
rk:Check64'><![if !supportNestedAnchors]><a
name=3DCheck64></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003600340000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check64'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check64'></span><span style=3D'mso-bookmark:Check64'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check6=
5'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check65'></span><![endif]--><span style=3D'mso-bookma=
rk:Check65'><![if !supportNestedAnchors]><a
name=3DCheck65></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003600350000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check65'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check65'></span><span style=3D'mso-bookmark:Check65'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check6=
6'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check66'></span><![endif]--><span style=3D'mso-bookma=
rk:Check66'><![if !supportNestedAnchors]><a
name=3DCheck66></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003600360000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check66'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check66'></span><span style=3D'mso-bookmark:Check66'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check8=
2'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check82'></span><![endif]--><span style=3D'mso-bookma=
rk:Check82'><![if !supportNestedAnchors]><a
name=3DCheck82></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003800320000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check82'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check82'></span><span style=3D'mso-bookmark:Check82'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check9=
3'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check93'></span><![endif]--><span style=3D'mso-bookma=
rk:Check93'><![if !supportNestedAnchors]><a
name=3DCheck93></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003900330000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check93'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check93'></span><span style=3D'mso-bookmark:Check93'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></spa=
n><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-bidi-font-family:"MS Mincho";
mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><u><o:p></o:p=
></u></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:right 1.0in center=
 1.5in 153.0pt 2.75in 243.0pt 4.0in 333.0pt 5.25in 423.0pt left 6.25in 6.75=
in'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>6:00-8:00pm=
<span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check6=
7'>
FORMCHECKBOX </span></span><span style=3D'mso-bookmark:Check67'></span><![e=
ndif]--><span
style=3D'mso-bookmark:Check67'><![if !supportNestedAnchors]><a name=3DCheck=
67></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003600370000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check67'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check67'></span><span style=3D'mso-bookmark:Check67'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check6=
8'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check68'></span><![endif]--><span style=3D'mso-bookma=
rk:Check68'><![if !supportNestedAnchors]><a
name=3DCheck68></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003600380000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check68'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check68'></span><span style=3D'mso-bookmark:Check68'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check6=
9'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check69'></span><![endif]--><span style=3D'mso-bookma=
rk:Check69'><![if !supportNestedAnchors]><a
name=3DCheck69></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003600390000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check69'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check69'></span><span style=3D'mso-bookmark:Check69'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check7=
0'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check70'></span><![endif]--><span style=3D'mso-bookma=
rk:Check70'><![if !supportNestedAnchors]><a
name=3DCheck70></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003700300000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check70'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check70'></span><span style=3D'mso-bookmark:Check70'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check7=
1'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check71'></span><![endif]--><span style=3D'mso-bookma=
rk:Check71'><![if !supportNestedAnchors]><a
name=3DCheck71></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003700310000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check71'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check71'></span><span style=3D'mso-bookmark:Check71'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check7=
2'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check72'></span><![endif]--><span style=3D'mso-bookma=
rk:Check72'><![if !supportNestedAnchors]><a
name=3DCheck72></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003700320000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check72'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check72'></span><span style=3D'mso-bookmark:Check72'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check8=
3'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check83'></span><![endif]--><span style=3D'mso-bookma=
rk:Check83'><![if !supportNestedAnchors]><a
name=3DCheck83></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003800330000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check83'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check83'></span><span style=3D'mso-bookmark:Check83'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp; </span></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check9=
4'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span><span
style=3D'mso-bookmark:Check94'></span><![endif]--><span style=3D'mso-bookma=
rk:Check94'><![if !supportNestedAnchors]><a
name=3DCheck94></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003900340000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check94'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check94'></span><span style=3D'mso-bookmark:Check94'></span><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></spa=
n><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-bidi-font-family:"MS Mincho";
mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><u><o:p></o:p=
></u></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:right 81.0pt cente=
r 117.0pt 2.25in 207.0pt 3.5in 297.0pt 4.75in 5.25in 423.0pt left 459.0pt 6=
.75in'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p>&nbsp;</=
o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:right 81.0pt cente=
r 117.0pt 2.25in 207.0pt 3.5in 297.0pt 4.75in 5.25in 423.0pt left 459.0pt 6=
.75in'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Other times
available: <u><span style=3D'mso-spacerun:yes'>&nbsp;</span></u></span><!--=
[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-bidi-font-family:"MS Mincho";
mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;</span></u><u><span style=3D'font=
-size:
10.0pt;line-height:150%;font-family:Arial;mso-fareast-font-family:"MS Minch=
o";
mso-no-proof:yes'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;</span></span></u><u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:"MS Mincho";mso-bidi=
-font-family:
"MS Mincho";mso-no-proof:yes'>&nbsp;</span></u><span style=3D'font-size:10.=
0pt;
line-height:150%;font-family:Arial'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><u><o:p></o:p=
></u></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt;font-family:Arial'><o:=
p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt;font-family:Arial'><o:=
p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt;font-family:Arial'><o:=
p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal><span style=3D'font-size:10.0pt;font-family:Arial'><o:=
p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p>&nbsp;</=
o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Have you ever=
 been
convicted of a felony?<span style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span>=
</span><!--[if supportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-bidi-font-family:"MS Mincho";
mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp; </span>Yes<span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp; </span></span><!--[if supportFields=
]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-bidi-font-family:"MS Mincho";
mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp; </span>No<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>If yes, please
explain<span style=3D'mso-spacerun:yes'>&nbsp; </span><u><o:p></o:p></u></s=
pan></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><!--[if s=
upportFields]><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
line-height:150%;font-family:"MS Mincho";mso-bidi-font-family:"MS Mincho";
mso-no-proof:yes'>&nbsp;&nbsp;&nbsp;&nbsp;</span></u><u><span style=3D'font=
-size:
10.0pt;line-height:150%;font-family:Arial;mso-fareast-font-family:"MS Minch=
o";
mso-no-proof:yes'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></u><u><span style=3D'font-size:10.0pt;line-height:150%;font-=
family:
"MS Mincho";mso-bidi-font-family:"MS Mincho";mso-no-proof:yes'>&nbsp;</span=
></u><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><!--[if gte m=
so 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
line-height:150%;font-family:Arial'><span style=3D'mso-element:field-end'><=
/span></span><![endif]--><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p></o:p></=
span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><b><u><sp=
an
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'>Tetanus Shot<=
o:p></o:p></span></u></b></p>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><b><span style=3D'font-siz=
e:10.0pt;
font-family:Arial'>If you have not received a tetanus shot within the last =
four
years, and you will be working with the cats, we advise you to get one for =
your
own protection.<o:p></o:p></span></b></p>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><b><i style=3D'mso-bidi-fo=
nt-style:
normal'><span style=3D'font-size:10.0pt;font-family:Arial'><o:p>&nbsp;</o:p=
></span></i></b></p>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><b><i style=3D'mso-bidi-fo=
nt-style:
normal'><span style=3D'font-size:10.0pt;font-family:Arial'><o:p>&nbsp;</o:p=
></span></i></b></p>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><b><i style=3D'mso-bidi-fo=
nt-style:
normal'><span style=3D'font-size:10.0pt;font-family:Arial'><o:p>&nbsp;</o:p=
></span></i></b></p>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><b><i style=3D'mso-bidi-fo=
nt-style:
normal'><span style=3D'font-size:10.0pt;font-family:Arial'>Please read care=
fully
before signing<o:p></o:p></span></i></b></p>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><b><u><span style=3D'font-=
size:10.0pt;
font-family:Arial'>Liability Waiver</span></u></b><span style=3D'font-size:=
10.0pt;
font-family:Arial'><br>
The undersigned hereby acknowledges that working with animals may be danger=
ous
and can lead to serious injury or even death. The undersigned understands a=
nd
agrees to personally assume any and all liability and risks of working at
Purrrfect Friends Feline Shelter And Adoptions. Further, the undersigned ag=
rees
to hold harmless Purrrfect Friends Feline Shelter And Adoptions, its office=
rs,
agents, and fellow volunteers, from any responsibility or liability for any=
 and
all personal injuries or death, which may occur during the term of this
agreement.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><b><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p>&nbsp;</=
o:p></span></b></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><!--[if s=
upportFields]><b><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-element:field-begin'></span><span style=3D'mso-bookmark:Check9=
5'><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMCHECKBOX </span></span></b><span
style=3D'mso-bookmark:Check95'></span><![endif]--><span style=3D'mso-bookma=
rk:Check95'><![if !supportNestedAnchors]><a
name=3DCheck95></a><![endif]><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF650000001400070043006800650063006B003900350000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'mso-bookmark=
:Check95'></span><span
style=3D'mso-element:field-end'></span><![endif]--><span style=3D'mso-bookm=
ark:
Check95'></span><span style=3D'mso-bookmark:Check95'></span><b><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;</span>Acknowledgement</span></b><sp=
an
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp; </span>By checking this box, I
certify that I understand and accept the above Liability Waiver if this
application is accepted. I also understand that I will be given a copy of t=
he
volunteer handbook to read and sign an acknowledgement of understanding, and
that should I not follow the procedures and protocols of PFFSAA, I can be
released from further volunteering.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><span style=3D'font-size:1=
0.0pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><span style=3D'font-size:1=
0.0pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><!--[if supportFields]><sp=
an
style=3D'font-size:10.0pt;font-family:Arial'><span style=3D'mso-element:fie=
ld-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
font-family:"MS Mincho";mso-bidi-font-family:"MS Mincho";mso-no-proof:yes'>=
&nbsp;&nbsp;&nbsp;&nbsp;</span></u><u><span
style=3D'font-size:10.0pt;font-family:Arial;mso-fareast-font-family:"MS Min=
cho";
mso-no-proof:yes'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></u><u><span style=3D'font-size:10.0pt;font-family:"MS Mincho=
";
mso-bidi-font-family:"MS Mincho";mso-no-proof:yes'>&nbsp;</span></u><span
style=3D'font-size:10.0pt;font-family:Arial'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
font-family:Arial'><span style=3D'mso-element:field-end'></span></span><![e=
ndif]--><span
style=3D'font-size:10.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span><!--[if supportFields]><span style=3D'font-size:10.0pt;font-f=
amily:
Arial'><span style=3D'mso-element:field-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
font-family:"MS Mincho";mso-bidi-font-family:"MS Mincho";mso-no-proof:yes'>=
&nbsp;&nbsp;&nbsp;&nbsp;</span></u><u><span
style=3D'font-size:10.0pt;font-family:Arial;mso-fareast-font-family:"MS Min=
cho";
mso-no-proof:yes'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></u><u><span style=3D'font-size:10.0pt;font-family:"MS Mincho=
";
mso-bidi-font-family:"MS Mincho";mso-no-proof:yes'>&nbsp;</span></u><span
style=3D'font-size:10.0pt;font-family:Arial'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
font-family:Arial'><span style=3D'mso-element:field-end'></span></span><![e=
ndif]--><span
style=3D'font-size:10.0pt;font-family:Arial'><u><o:p></o:p></u></span></p>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><span style=3D'font-size:1=
0.0pt;
font-family:Arial'><span style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
 </span>Name
Printed <span style=3D'mso-tab-count:5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&n=
bsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp=
; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</s=
pan>Date<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><span style=3D'font-size:1=
0.0pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><!--[if supportFields]><sp=
an
style=3D'font-size:10.0pt;font-family:Arial'><span style=3D'mso-element:fie=
ld-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
font-family:"MS Mincho";mso-bidi-font-family:"MS Mincho";mso-no-proof:yes'>=
&nbsp;&nbsp;&nbsp;&nbsp;</span></u><u><span
style=3D'font-size:10.0pt;font-family:Arial;mso-fareast-font-family:"MS Min=
cho";
mso-no-proof:yes'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></u><u><span style=3D'font-size:10.0pt;font-family:"MS Mincho=
";
mso-bidi-font-family:"MS Mincho";mso-no-proof:yes'>&nbsp;</span></u><span
style=3D'font-size:10.0pt;font-family:Arial'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
font-family:Arial'><span style=3D'mso-element:field-end'></span></span><![e=
ndif]--><span
style=3D'font-size:10.0pt;font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </spa=
n></span><!--[if supportFields]><span
style=3D'font-size:10.0pt;font-family:Arial'><span style=3D'mso-element:fie=
ld-begin'></span><u><span
style=3D'mso-spacerun:yes'>&nbsp;</span>FORMTEXT </u><span style=3D'mso-ele=
ment:
field-separator'></span></span><![endif]--><u><span style=3D'font-size:10.0=
pt;
font-family:"MS Mincho";mso-bidi-font-family:"MS Mincho";mso-no-proof:yes'>=
&nbsp;&nbsp;&nbsp;&nbsp;</span></u><u><span
style=3D'font-size:10.0pt;font-family:Arial;mso-fareast-font-family:"MS Min=
cho";
mso-no-proof:yes'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;
</span></span></u><u><span style=3D'font-size:10.0pt;font-family:"MS Mincho=
";
mso-bidi-font-family:"MS Mincho";mso-no-proof:yes'>&nbsp;</span></u><span
style=3D'font-size:10.0pt;font-family:Arial'><!--[if gte mso 9]><xml>
 <w:data>FFFFFFFF0000000014000600540065007800740031003800000000000000000000=
0000000000000000000000000000000000</w:data>
</xml><![endif]--></span><!--[if supportFields]><span style=3D'font-size:10=
.0pt;
font-family:Arial'><span style=3D'mso-element:field-end'></span></span><![e=
ndif]--><span
style=3D'font-size:10.0pt;font-family:Arial'><span style=3D'mso-tab-count:1=
'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><span style=3D'font-size:1=
0.0pt;
font-family:Arial'><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </spa=
n><span
style=3D'mso-tab-count:1'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&=
nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbs=
p; </span><span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;</span>Signature <span style=3D'mso-=
tab-count:
5'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nb=
sp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><=
span
style=3D'mso-spacerun:yes'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;=
&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;</span>Parent
Signature <b>(If Under 18)</b><o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><span style=3D'font-size:1=
0.0pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><span style=3D'font-size:1=
0.0pt;
font-family:Arial'><o:p>&nbsp;</o:p></span></p>

<p class=3DMsoNormal style=3D'tab-stops:90.65pt'><span style=3D'font-size:1=
0.0pt;
font-family:Arial'>Acceptance into our volunteer program is dependent upon =
the
applicant&#8217;s attitude towards volunteer work, their comfort level in
regards to working with animals, their attitude towards shelters, and our
specific philosophies and mission. A volunteer coordinator will contact you=
 for
an interview and orientation. Thank you for your interest in volunteering w=
ith
Purrrfect Friends Feline Shelter And Adoptions.<o:p></o:p></span></p>

<p class=3DMsoNormal style=3D'line-height:150%;tab-stops:90.65pt'><span
style=3D'font-size:10.0pt;line-height:150%;font-family:Arial'><o:p>&nbsp;</=
o:p></span></p>

</div>

</body>

</html>

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