Volunteer Account Registration Form

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This information is utilized for grants that allow us to provide free programming.

You may skip this section if you have not been in the armed services.

Volunteers are required to complete our NCSI Background check and complete our Volunteer Orientation prior to program attendance. You will be forwarded to the waivers upon submission of this form and a background check link and further directions will be emailed to you at the address you provided in this application.

First Name *

Last Name *

Phone 1

Address Line 1

Address Line 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name (relationship)

Emergency Contact Phone

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Birthday

Gender

Ethnicity

Race

American Indian or Alaska Native

Asian

Black or African American

Native Hawaiian/Other Pacific Islander

White

Other

Decline to Answer

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Branch of Service

Marine Corps

Army

Navy

Air Force

Coast Guard

National Guard

Rank

Served Post-911

Service-Related Disability

Home VA Location

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Volunteers must complete our NCSI Background check and attend or watch our Volunteer Orientation prior to program attendance. This information can be found at www.adaptiveadventures.org/volunteer and will be provided in our program registration confirmation emails.

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Volunteer Application

Adaptive Adventures

National Headquarters: 9053 Harlan Street Suite 34, Westminster, CO 80031

(303) 679-2770 | AdaptiveAdventures.org

info@adaptiveadventures.org