Your Name
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First Name
Last Name
E-mail address
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Group or company
If applicable
Phone Number
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Area Code
Phone Number
Would you like to receive ACRS e-mail updates?
Yes
No
What area(s) of support are you able to provide?
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Legal
Accounting
Business Management
IT
Curriculum Development
Marketing and Communications
Web Design
Facility Management
Data Ananlysis
Community Outreach / Organizing
Other
Please describe the services you would be interested in providing
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Inactive Date
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Year
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Month
Day
Date
PLEASE REVIEW ACRS' WAIVER AND RELEASE OF LIABILITY
[Print Name] I have read and adhere to ACRS' Waiver and Release of Liability
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Date
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Year
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Month
Day
Date
Signature
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