Activity Information

Name

Location

Date

Please add any relevant experience you have that we should know about.

How did you hear about this opportunity?

This activity is not currently accepting registrations. Contact ATC Staff with any questions.

Program Restriction

First Name

Last Name

Nickname

Phone

Street

City

State

Zip Code

Date of Birth

Dietary Restrictions

YesNo

If yes, please describe:

Type(s) of Interest (select all that apply)

Select location(s) to give ATC permission to email you future volunteer, training, or recreation activities. (select all that apply)

North (ME, NH, VT, MA, CT. NY, NJ)Central (NY, NJ, PA, MD, WV, VA)South (WV, VA, TN, NC, GA)Trailwide

This optional demographic data allows ATC to see how effective we are being at reaching all people as we work towards an inclusive volunteer corps.

Gender Identity

Ethnicity/Race (select as many as apply to how you most closely identify)

I am a Veteran

Certifications

Please add any Certifications you may have, as well as the date certified, expiration date (if applicable) and the party that oversaw the certification process.

Type

Course Completion Date:

Expiration Date

Who offered this course:

Add any relevant attachment (jpg, jpeg, png or pdf)

Placeholder 1

Placeholder 2

Placeholder 3

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Email

Emergency Contact Phone

School and Parent/Guardian Information

What school do you go to?

Parent or Guardian Name

Parent or Guardian Email

Parent or Guardian Phone Number

2nd Parent/Guardian Emergency Contact Name and Phone

Name

Phone

I have sent the Administrator/Teacher Endorsement Link to my admin/teacher.

Yes

I have discussed this program with my guardian/parents and they have agreed for me to participate. **We will send parent permissions after selections are made.

YesNoMaybe

Reasonable Accommodation

Before responding to the question below, please reference the Essential Eligibility Criteria found within the How to Hike the A.T. web page. If you feel you might need a Reasonable Accommodation to participate in a course, an ATC staff member will contact you directly to discuss what those might be.

Do you feel you might need a Reasonable Accommodation to participate in this course?

YesNo

You are invited to join our online Community of Volunteers. Joining makes registering for future opportunities easy and helps you track your accomplishments. Indicate below if you'd like access. Then check your inbox for an email to set up your account.

Please add me to the online volunteer community

Hidden Fields

ProjectId

Accepting Registrations

Type

Registration Status

Status

Project Sign Up

Default Role

Not Recreational

Is Recreational

Not Online Session

Redirect URL

Contact Id

Community Logged in User?

Community Logged In User

Active Custom Questions

# 1# 2# 3

Question # 1

Question # 2

Question # 3

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