Community Interest Form Name(Required) First Last Email(Required) Phone(Required)Address Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code HiddenI am interested in...Mark all that apply Volunteering Signing up my kids for programing Donating my tax credit Volunteer SectionVolunteer ProgramsWhich programs would you like to volunteer for? Mark all that apply. Monday Nights - Kids Life Wednesday Nights - Suenos Youth Summer Programs - Kids Club/Kids Camp Volunteer areas of interestMark all that apply. Leader Teacher Driver Activity Teacher Worship/Music Tuesday Cleaning Summer - Work Crew Dinner Kids Club Planning & Leadership Commitee Select AllChild informationList Children(Required)Example: | John | Doe | 6 | 1/1/1999 | Male |First NameLast NameGradeBirthdateGender Add RemoveDid any of these children attend Kids Club 2022?(Required) Yes No Tax Credit DonationHow would you like to donate? One-time gift Monthly gift I would like to learn more
