Actioneer Registration
Group member input for future projects.
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Actioneer's Name *
Age: *
Phone #: *
Email: *
Hobbies/Interests: *
Parents Name: *
Parents Phone:
Parents Email:
Actioneer Pledge:
As an Actioneer,

I believe that I am a valuable member of my community.

I commit to helping with projects within my hometown.

I will learn the importance of volunteering and giving of myself.

I will mirror the actions of the Rotaract Club and provide support in goodwill projects.

Actioneer Signature: *
Actioneer Parent Pledge:
As an Actioneer Parent,

I understand the importance of volunteering.

I commit to support my Actioneer in participating in goodwill projects within our community.

For liability purposes, I will remain with my Actioneer during projects to ensure their safety, and performance.

Actioneer Parent Signature: *
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