Family Program Interest/Waitlist – Mennonite Disaster Service

Please complete this form to let us know about your interest in or questions about the MDS Family Program. We will contact you when scheduling starts around the beginning of February- thank you!

Coordinator for Weekly Volunteers

Kaelan Miller

Phone Number

(800) 241-8111

Mailing Address

583 Airport Road
Lititz, PA 17543 USA

Name(Required)

First Last

Phone(Required)

Email(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number and ages of people in family group(Required)

Availability(Required)

Summer 2023

Summer 2024

Summer 2025

Specific week (note in comments)

Questions/Comments

Comments

This field is for validation purposes and should be left unchanged.