VOLUNTEER SIGN UP FORM

Great Golf And Sun Safety Outreach At LPGA & USTA Tournaments

VOLUNTEER INFORMATION:
Volunteer Form Date: 

Your Name: *REQUIRED
E-Mail Address: *REQUIRED
Address:
City:
State:
Zip:
Telephone:
Cellular Phone:
Fax:
T-Shirt Size: *REQUIRED

Are you currently a WDS Member (or Pending Member): *REQUIRED    Yes    No..( WDS Membership Details Online HERE )
    • There are volunteer opportunities for non-members, too! Please call 877-WDS-ROSE to learn more.
Are you a Board Certified Dermatologist in the state of the tournament: *REQUIRED    Yes     No

How Many Are In Your Group: *REQUIRED   

List Additional Volunteers:
1. Board Certified Dermatologist in the state of the tournament   Yes    No
2. Board Certified Dermatologist in the state of the tournament   Yes    No
3. Board Certified Dermatologist in the state of the tournament   Yes    No

EVENT INFORMATION:
As a WDS Member (including pending members), I can volunteer for the following (select all that apply):
There are volunteer opportunities for non-members, too! Please call 877-WDS-ROSE to learn more.

  2010 Schedule of Events:
August 10-15, 2010: 
Greater Richmond Golf Classic - Richmond, VA
August 22, 2010: 
USTA Pilot Pen Classic Kids Day - New Haven, CT
October 12-17, 2010: 
LPGA CVS Challenge - Danville, CA

ADDITIONAL COMMENTS:


PLEASE NOTE:
You will receive eMail conformation on your Volunteer Sign Up







For further information about Women’s Dermatologic Society, visit:
www.womensderm.org
www.playsafeinthesun.org


Contact (General Inquiries): WDS Offices at 1-877-WDS-ROSE (937-7673)
Contact (Media Inquiries): Nancy FitzGerald, Director of Communications at (760) 333-9296

The Women's Dermatologic Society supports the careers and professional development of women dermatologists. The mission of the Women’s Dermatologic Society is to help women in dermatology achieve their greatest personal and professional potential by striving to: foster, promote, and support women’s issues in dermatology; identify, train, and recognize women leaders in dermatology; and provide a forum for developing relationships.


Women's Dermatologic Society
575 Market Street, Suite 2125, San Francisco, CA 94105
Toll-Free: 1-877-WDS-ROSE (937-7673) | Tel: (415) 764-4925 Fax: (415) 764-4933
eMail: wds@womensderm.org | www.playsafeinthesun.org