Community Warriors Registration Form
Register to join the Community Warriors (CW) Movement. Complete all sections below to participate and support our mission.
Date
*
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Month
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Day
Year
Date
Full Name
*
Address
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Community Warrior Commitment
*
Treat every person with dignity and respect.
Support the mission of ACA and TheC.
Encourage positive community engagement.
Attend meetings and events whenever possible.
Volunteer my time and talents when I am able.
Help educate others about ACA and TheC.
Lead by example and inspire others.
Photo & Video Release Consent
*
I authorize ACA, TheC, and the CW Movement to use photographs and videos of me for educational, promotional, and community outreach purposes.
Volunteer Interests
Community Outreach
Event Planning
Youth Programs
Senior Services
Social Media
Graphic Design
Photography / Videography
Printing Services
Fundraising
Other Volunteer Interest (please specify)
T-Shirt Size
Please Select
S
M
L
XL
2XL
3XL
Participant Signature
*
Print Name
*
Date (Signature)
*
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Month
-
Day
Year
Date
Submit Registration
Submit Registration
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