Volunteer Form - ASRC 2023 CT Walk for Autism
Thank you in advance for your time! 
Please complete the form below and a representative from ASRC will be in touch ASAP.

All volunteers are required to submit this form and agree to the volunteer liability waiver. By submitting your information you agree to the terms. 

Please note that youth safety is a top priority; therefore, any volunteer may be subject to a background check at any time.
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Email *
Are You an OT/PT Student? *
First Name *
Last Name *
Best Contact Phone Number *
Time to Volunteer-please indicate your volunteer time availability. You may choose multiple times
Available? Choose
7-9 am (pre event)
9-11 am
11am - 1pm
1-3 (post event)
Are You a Student? If Yes, Where (below)? *
Name of School
City & State (Where you Live) *
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