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ACEing Autism Volunteer Registration Form
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First Name:
*
Your answer
Last Name:
*
Your answer
Middle Initial:
*
Your answer
Date of birth:
*
MM
/
DD
/
YYYY
ACEing Autism welcomes volunteers ages 11 and up.
*Parent supervision is required for volunteers 11 - 13. Background checks are required for those 18 and older.
Are you at least 18 years of age or will you be turning 18 years of age during the session period for which you are applying?
*
Yes, I am/will be at least 18 years old during the course of the upcoming session
No, I am not 18 years old and I will not be turning 18 during the upcoming session
Gender Identity:
*
Female
Male
Prefer not to say
Other
Street address:
*
Your answer
City/Town:
*
Your answer
State:
*
Your answer
Zip code:
*
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Phone number:
*
Please include the best number to reach you:
Your answer
Email address:
*
Your answer
Preferred method of contact:
Email
Phone Call
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