NOTE: You can change the extra "donation" on the last page to $0 or choose to donate if you'd like. This form is for our membership.
Our season runs from Sept - May, so we are currently enrolling half-season memberships. Please join our Facebook group & introduce yourself!
Did you know? We fundraise with Zeffy to ensure 100% of your donation goes to our mission!
Your information
Email*
First name*
Last name*
Country*
United States (US)
State*
Pennsylvania (PA)
Questions
Phone Number*
Phone Number*
Kids' names and ages*
Photo Release
Do you give permission to take photographs and / or video of you or your child? Do you grant full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the group's aims?*
Only me
Our Sunshine Coordinator helps members during times of transition by setting up a meal train. Transitions can include a new baby, long-term illness or injury. If you anticipate needing a meal train this year, please provide approximate dates.
