Guerrero Clinic

Donations and other communications may be sent to The Crystal Foundation, P.O. Box 1566, Lake Jackson, TX 77566 Please make checks payable to "The Crystal Foundation"
Application for Fall 2010 Clinic Dates: Tuesday Sept 7th to Sunday Sept 12th Application Due Date is end of day Friday July 30th
Application Information Four PDFs documents are attached. Please print, read and follow directions. Contact Walter (see info on left side of web) if you have questions. Thank you. Part 1 Application pages 1 and 2 (Demographics and skills) Application page 3 (Travel and Lodging selection - from Houston and Dallas) Application page 4 (Information on Travel - from Houston and Dallas) Part 2 Payment information and instructions Two shirts are available for sale as extras.One is a blue button down short sleeve shirt with the Rotary Clinic emblem on the front. It is recommended that volunteers purchase at least one and plan to wear it on travel days to and from the clinic. The other is a grey T-shirt. Pictures of both shirts are shown below.

Donations and other communications may be sent to
The Crystal Foundation, P.O. Box 1566, Lake Jackson, TX 77566
Please make checks payable to "The Crystal Foundation"

Application for Fall 2010 Clinic

Dates: Tuesday Sept 7th to Sunday Sept 12th

Application Due Date is end of day Friday July 30th

Application Information

Four PDFs documents are attached. Please print, read and follow directions.

Contact Walter (see info on left side of web) if you have questions. Thank you.

Part 1
Application pages 1 and 2 (Demographics and skills)

Application page 3 (Travel and Lodging selection - from Houston and Dallas)

Application page 4 (Information on Travel - from Houston and Dallas)

Part 2
Payment information and instructions

Two shirts are available for sale as extras.One is a blue button down short sleeve shirt with the Rotary Clinic emblem on the front. It is recommended that volunteers purchase at least one and plan to wear it on travel days to and from the clinic. The other is a grey T-shirt. Pictures of both shirts are shown below.