Registration Page

Prefix:	Miss Mr. Ms. Mrs. Dr. Rev.
First:	First Name is required
Last:	Last Name is required
Mailing Address:	Address is required
City:	City is required
State:	Select AK AL AR AZ CA CO CT DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY ITALY State is required
Zip:	Zip code is required Zipcode is not in correct Format
Email:	Email Address is required Please type email correctly.
Primary Phone: (xxx) xxx-xxxx	Primary Phone is required Please type your primary phone in correct format.
Primary Phone Type:	Home Mobile Required to select one option for Primary Phone Type
Secondary Phone: (xxx) xxx-xxxx	Please type your secondary phone in correct format.
Secondary Phone Type:	Home Mobile
BirthDate:	Birthdate is required
Preferred method of communication:	Email Phone Text Required to select one option for Preferred method of communication
Availability to volunteer:	Weekdays Weekends Required to select at least one option for Availability
Notes:	Please use this space for inquiries or clarification of submitted answers.