Registration (General) | North Cascade Cares

Free Dental Clinic

March 28 & 30, 2025

Thank you for volunteering!

Our free dental clinic will be held at Skagit Adventist Academy on Friday, March 28 and Sunday, March 30. Volunteers are needed in several different departments.

This form is for GENERAL VOLUNTEERS. Those volunteering in dental care or medical screening should visit this link to fill out a different registration form for health professionals.

If you have any questions about registration, please reach out to us at northcascadecaresvolunteers@gmail.com.

First name

Preferred Name (if different from your legal name)

Last name

E-mail

Phone

Address

In which positions could you volunteer?

Some general volunteers may be needed to help our dental care team. If needed, would you be willing to assist a dentist or hygienist with instruments and/or cleaning? (Walk-through orientation will be provided.)

Yes

No

Is there anything we should know about your department selections?

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

When are you available to volunteer?

Friday, March 28 (Clinic)

Sunday, March 30 (Clinic)

Sunday, March 23, 10 AM (Facility Setup)

Sunday evening, March 30 (Teardown)

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

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

Yes

No

We ask that all volunteers wear a "North Cascade Cares" T-Shirt. You can borrow and return one or bring one from a previous clinic.

I already have a "North Cascade Cares" T-shirt.

I would like to borrow and return a T-shirt. (Select size on next question)

If you would like to borrow a "North Cascade Cares" T-shirt, what size would you like? (Sizes run from S - 4XL)

Please provide an Emergency Contact:

Emergency Contact Phone Number

Are there any allergies, medications, or other information needed in case of an emergency?