Aegis Participant Signup Form

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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.

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 *

What are your pronouns? *

Phone number

Are you a Maryland Resident? *

Yes

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.

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