Get involved!
Make a difference in the lives of homeless children
and families.

Please provide us with your contact information. You will receive information about Horizons for Homeless Children including our newsletter and invitations to events. Thank you!

THIS FORM IS NOT A PLAYSPACE ACTIVITY LEADER VOLUNTEER APPLICATION FORM. YOU CAN FIND THIS FORM BY CLICKING HERE

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I would like more information about (please check all that apply)
	Donating in-kind items (e.g. new toys, art supplies, furniture, office equipment etc.)
	Helping with administrative projects / special events
	Playspace Programs/Becoming a Playspace Activity Leader
	The Young Children Without Homes National Conference
	Donating pro bono services
	Other (please specify)

*First Name:
*Last Name:
*Title:
*Address:
*City:
*State:
*Zip:
Preferred Phone:	Phone Type:
*E-mail address:
	I am under 18 years of age
If employed, please provide us with your business information:
Company:
Title:
Business Phone:
E-mail address:

If you know anyone else who is involved with Horizons for Homeless Children, please provide us with a name:

Any Other Comments

Get involved! Make a difference in the lives of homeless children and families.

Get involved!
Make a difference in the lives of homeless children
and families.