Name

Street Address

City

Zip Code

Phone Number (area code first)

Email Address

Age Range of Children (Select all that apply)

Number of Children

Reason for Requesting Assistance

Members who receive financial assistance commit to serving an our volunteer committee.  As a member of our volunteer committee, you will be asked to teach/assist a class and/or assist field trips and/or events.  This can include planning classes, events and field trips, and also volunteering at the event.  NOTE: It is not a requirement to serve at EVERY event.  We only ask that you help when you are able.