On-Line Work Week Registration Form

Project Amigo Volunteer Work Weeks

We invite you to come to Colima to work, meet the children, visit with Mexican Rotarians, and learn more about the people and culture of western Mexico. To reserve your place, fill out the form below and make the requested donation using your credit card on-line or mail your deposit to the address on the right.
    See the Volunteer Opportunities page for details and the Volunteer Work Week Schedule for openings during the winter of 2009 - 10. Questions? See our answers to Frequently Asked Questions, or e-mail us at volunteercoordinator@projectamigo.org.

Work Week Volunteer Jack Grimes, a Rotary spouse from San Rafael, California, teaches children to fly paper airplanes - or vice versa.

Make your Work Week reservation and deposit by using your credit card on-line:

Or mail your deposit to:
Project Amigo,
14 Commercial Blvd. #119,
Novato, CA 94949

The Volunteer

Please fill out a separate form for each person in your party.

First Name

Last Name

Address

City

State or Province

Zip or Postal Code

Country

Optional:

Phone #1

Phone #2

Phone #3

E-Mail #1

E-Mail #2

If applicable:

Rotary Club

Rotary District

Your Travel Plans

Please reserve my place for

I am traveling with

who is my select wife husband child grandchild Club member friend other

and

who is my select wife husband child grandchild Club member friend other

and

who is my select wife husband child grandchild Club member friend other

We arrive in select Guadalajara Manzanillo Colima on

(date) at (time)

Flight #

, select United Mexicana Delta American West Continental American Alaska AeroMexico Airlines.

We depart from select Guadalajara Manzanillo Colima on

(date) at (time)

Flight #

, select United Mexicana Delta American West Continental American Alaska AeroMexico Airlines.

T-Shirt size(s) - Please specify S-M-L-XL-XXL - one per person

Your Stay in Colima

My party would prefer
(number of rooms and beds)

My dietary preference is
(check all that apply)

no meat, no dairy, no sugar, other

I have these special needs

I smoke, asthma, diabetes, other

I speak Spanish

Your Donation

A deposit of one-half of
the requested donation of $1200 per person
is required to hold your place.
Please select payment method and fill in amount donated.

I have used my credit card for an on-line donation of:

I am mailing to the Novato address my donation of:

for reserving places.

Comments?

Anything else you want to tell us?

Use this space to explain any "other" answers.

PLEASE NOTE:  Your form will be sent to the volunteer coordinator, who will review it and contact you
within a day or two. If you do not hear from us in three days, please follow-up with an email to Susan@projectamigo.org.

Our Promise: All information is confidential; available only to Project Amigo Staff.
We won't sell or trade your name to anyone.

If you prefer to email or fax your registration to us, please click here to access the Registration Form in Word Document (.doc) format.  The completed form can be faxed to (775) 259-2773 (a U.S. fax number which reaches us in Mexico) or sent as an email attachment to susan@projectamigo.org.

This page last updated November, 2008.