Company/Organization Name*Organization Address/Location* Contact Name* Mr.Mrs.MissMs.Dr.Prof.Rev.Mx.None Prefix First Last Email* Phone*First choice for my corporate engagement day:* MM slash DD slash YYYY Second choice for my corporate engagement day:* MM slash DD slash YYYY I am interested in:* Morning Session (9:30am-11:30am) Afternoon Session (1:30pm-3:30pm) Would your group like boxed lunches?* Yes No Please note: an extra 30 minutes to an hour will be built into your schedule for lunch. If yes, how many lunches will you need?Please enter a number from 1 to 15.What type of project are you interested in working on?*Depending on the current needs, there may be opportunity to work on outdoor projects which may include physical labor, or there are projects that can be done indoors requiring little or no physical labor. After you submit your form, a team member will be in touch to coordinate with you.Where is your group interested in volunteering?*NewingtonWaterford (pending availability)Westport (pending availability)Most corporate volunteer projects are based at CHS headquarters (701 Russell Road, Newington). There is occasionally an opportunity for volunteers to work at the Waterford or Westport location.How many volunteers in your group?*8 or less participants15 or less participants15-20 participants20+ participantsTotal $0.00 Payment can be made at https://cthumane.org/?form=corporateengagement, or via check brought on your corporate volunteer day. Consent Form* I understand.Each party shall conduct themselves at all times in accordance with the highest standards of professional conduct and responsibility and each hereby indemnities and saves harmless the other from each and every and all losses, claims, demands, obligations, liabilities, indebtedness and causes of action of every kind, type, nature or description whatsoever, whether known or unknown, as if expressly set forth and described herein, which either party may incur, suffer, become liable for, or which may be asserted or claimed against the other party as a result of the acts, errors or omissions of the other party. Payment for this program is non-refundable. Program may be rescheduled based on availability. CAPTCHA