Registration (Professionals) | 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 HEALTH PROFESSIONALS. If you would like to serve as a general volunteer, please visit this link to fill out a different registration form.

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?

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)

Thursday, March 27, 10 AM (Dental Setup)

Sunday, March 30, 4 PM (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 either wear their own scrubs or a "North Cascade Cares" T-Shirt. Dental Professionals will be provided PPE.

I will be wearing my own scrubs.

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?