Request edit access
Aegis Participant Signup Form
The form below is to sign up as a participant for Aegis Community Works in Baltimore. Please note that completing this form does not guarantee you will be eligible for participation. All information is stored securely and only used for the sole purpose of contacting you to follow up should you be selected.
* Required
Email address
*
Your email
*
Please check this box to confirm that you have read the above information.
Required
General Information
Please answer all required questions in this section. All information is used for contact and planning purposes only. Aegis will never share your information with anyone outside of our organization, and we will never solicit you with spam via e-mail, phone, or mail. Please do not fill out this form if you do not wish to be informed of Aegis updates or communications.
Name
*
Your answer
What are your pronouns?
*
Your answer
Phone number
Your answer
Are you a Maryland Resident?
*
Yes
No
If you answered yes above, in which county do you currently reside?
*
Baltimore City
Baltimore County
Anne Arundel County
N/A
Other:
Program Questions
What Aegis services are you most interested in receiving more information about? (Check all that apply)
*
Mutual Aid
De-escalation
Recreational Airsoft
Community Wellness
Self-Defense
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
