2024 iCan Bike Hosted by Autism Charlotte
Volunteer Registration Form

Volunteer Registration Form

We are pleased to offer this bike program to people with disabilities and look forward to having you play an important part in helping our special riders to ride a two-wheel bicycle independently.

***NO PRIOR EXPERIENCE WORKING WITH PEOPLE WITH DISABILITIES IS NECESSARY***

AGE REQUIREMENT: Volunteers must be 15 years old

DATES OF CAMP: July 8th to July 12th

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* 1. Volunteer Name

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* 2. Gender

Male

Female

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* 3. Age

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* 4. E-Mail

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* 5. Cell Phone

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* 6. Home Street Address

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* 7. Home Address City, State, Zip

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* 8. Emergency Contact Name and Phone Number

Emergency Contact Name

Emergency Contact Phone

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* 9. Will you need documentation of service hours?

Yes (if yes, please provide documentation to Host on final day of volunteering)

2024 iCan Bike Hosted by Autism CharlotteVolunteer Registration Form

Volunteer Registration Form

Question Title

* 1. Volunteer Name

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* 2. Gender

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* 3. Age

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* 4. E-Mail

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* 5. Cell Phone

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* 6. Home Street Address

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* 7. Home Address City, State, Zip

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* 8. Emergency Contact Name and Phone Number

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* 9. Will you need documentation of service hours?

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* 10. Comments

2024 iCan Bike Hosted by Autism Charlotte
Volunteer Registration Form