Peer Pals

Sign up to be a Volunteer

Email:*

First Name:*

Last Name:*

Address:*

City:*

State/Region/Province:*

Zip / Postal Code:*

Phone:*

I am looking to volunteer:*

at a group play date
at A Run Through History 5K
in the office
at the Oyster Festival
for the fundraising dinner
other

I am:*

Under 18
18 and over

Availability for PeerPals.org Events:*

Weekdays
Weekends
None/Other

Special Skills:*

Parent Training/Education
Organizing/Networking/Recruiting
Fundraising
Grant Writing
Public Speaking
Video Editing/Production
Other

Please answer only if you are signing up to be a Play Date Volunteer: Profession:

Special Education Teacher
Speech Pathologist
Occupational Therapist
Physical Therapist
ABA Teacher
Regular Education Teacher
Other

How did you hear about PeerPals.org?*

A Friend or Family Member
Local Library
Child's School or Daycare
Pediatrician
Early Intervention Provider
Internet
Oyster Festival
Other

Anything else you want to tell us about yourself, or if you checked other in any of the previous questions:*

Please leave this field blank:

* denotes required field

Your email address:

Volunteer: Find out how you can help

Tell a Friend: Help spread the word

Zip Code: