Registration (Professionals) | North Cascade Cares

VIDEO

VISION CLINIC REGISTRATION

HEALTH PROFESSIONALS

Free Vision Clinic

October 16 & 18, 2026

Thank you for volunteering!

Our free vision clinic will be held at the North Cascade Seventh-day Adventist Church on October 16 and 18. Volunteers are needed in several different departments.

This form is for HEALTH PROFESSIONALS. If you would like to serve as a general volunteer, please visit this link to fill out a different registration form.

First name

Preferred Name (if different from your legal name)

Last name

E-mail

Phone Number

Full Address (Include City & Zip Code)

Is there anything we should know about your department selections?

Are there any languages that you could provide interpretation for during the clinic?

When are you available to volunteer?

Friday, October 16

Sunday, October 18

Is there anything we should know about your availability to volunteer on the dates you selected?

Have you volunteered at a free vision clinic at this location before?

Yes

Please provide an Emergency Contact:

Emergency Contact Phone Number

north cascade cares