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Active SWV Volunteer Community Captain Interest Form
Join our team of amazing volunteers who lead weekly or monthly physical activities in their communities for free. Active SWV will provide training, support, and liability coverage.
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Email
*
Your email
Are you interested in training to lead an Arthritis Foundation program such as Walk With Ease orTai Chi for Arthritis
Yes
No
Clear selection
First Name
*
Your answer
Last Name
*
Your answer
In what area of WV are you located? (county/counties/region)
*
Your answer
Do you have a location in mind for your program?
*
Your answer
Phone number
*
Your answer
Are you interested in becoming a volunteer Community Captain?
*
yes
no
Please select a training option
In person training
Zoom training (give a few day and time options you have available)
Clear selection
Days and times for in person or Zoom (please give a couple of options )
Your answer
What type of physical activity program are you interested in leading? (e.g. group fitness classes, hikes, biking, walking group, running, etc)
*
Your answer
Best time to contact you
*
Weekday
Weekend
Evening
Day time
Other:
Best way to contact you
*
email
text cell phone
phone call
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