First Name*Last Name*Gender* Male Female Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Age*Phone Number*Cell NumberSign-in InformationPlease enter a valid e-mail address and select a password for your registration. You will need this e-mail and password to use the online report cards. Email* Username*Password*confirm Password*Address* Street Address City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I would like to volunteer for:When would you like to volunteer at a special needs child’s home? Days of weekMondayTuesdayWednesdayThursdayFridaySaturdaySundayFirst choiceTime : Hours Minutes Days of weekMondayTuesdayWednesdayThursdayFridaySaturdaySundaySecond ChoiceTime : Hours Minutes Do you have a friend with whom you'd like to volunteer? Yes No If yes please provide your friend’s name:Are your parents available to drive you to or from a child’s home? Yes No I agree to keep all information about my circle friend and their family confidential. In the event that I am unable to volunteer I will try to find another day to substitute and I will call my special friend in advance. OtherSchool:About Me
