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am a volunt
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understand
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my time, ser
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F ANTI
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follows:
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rgies to the
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p
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d
d
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of action or
constitute a
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job that I do
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_
_________
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enter
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Compensati
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c
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as a volunte
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www.antioc
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injury sustai
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bility, claim
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tained by m
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a
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lunteer time
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seek to volu
Date ___
_
t
ioch Senior
213 F Stre
A
ntioch, CA
9
(925) 778-1
1
s
it our web
s
h
ca.gov/recreat
S
tate
C
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n
ter.
o
the employ
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, cause of ac
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gree to inde
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for any defin
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_
________
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_
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Center
et
9
4509
1
58
s
ite at:
ion/senior-cent
Zip
Yes No
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es of the Cit
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ite duration.
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