Presbyterian-Fulton Cemetery Restoration Project

 
Please print out this form, fill in and bring with you.  You need do this only once.
This helps us keep track of volunteers.  You can mail it to:
Bart Rosenberg, 3684 Saybrook Ave., Cincinnati OH 45208-1771
You may also email the requested information to  bart@spsp.net

Name ___________________________________________________

Address ________________________________________________

City ______________________State _______Zip ____________

Home phone ________________________________

Email address ______________________________

In case of emergency, notify

Name _____________________________________________________

Phone number(s) __________________________________________
 

If you are under 18 years of age, a parent or legal guardian must approve of your participation by signing below. The above named minor individual has my permission to participate in the restoration of Presbyterian, Fulton and Fulton Mechanick's Cemetery.

Signed_____________________________________________________

Relationship_________________________________________________

Date_____________________________2003