register for Teen Court

Volunteer Form

Contact Information First    Last

Agency/Firm Name

Street Address    Address Line 2

City    State    Zip Code    Country




Office Number
- -

Cell Number
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Alternative Contact Person

First Last

Alternative Contact Phone Number

- -

Questions Please contact me for service in the months of:
January    February    March    April    May    June

July    August    September    October    November    December

I would like to limit my involvement to the Tuesday evening Teen Court sessions (6:30-8:30 pm).
Yes No

I am willing to serve as a guest speaker for a middle school classroom (Daytime sessions).
Yes No

I am willing to serve as a mock trial judge at the courthouse (Daytime sessions).
Yes No

I would like to be on the Pinch Hitters list.
Yes No

I am not able to commit in 2013, please contact me next year.
Yes No

Additional Comments
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