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I want to volunteer — I want to help make a difference.

I want to register a team to raise awareness & bowl. (click here)

(name) _______________________________

(street address) _______________________________

(city) ___________________ (state) _________ (zip) ___________

(home phone) ______________ (work) ___________ (cell) _____________

(email address) __________________________________

 

I have experience or education in the following areas (check all applicable):

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I would  like to help with the following program / programs (check all applicable):

 National Conference Financial Grant

 New Parent / Parent Support

 Independence / Self-care Workshops

 Media Awareness and Quarterly Newsletters

 Advanced Educational Scholarship

 Resource Directory

 Bowl-a-thon Awareness/Fundraising

 Website & Electronic Networking

 Where I am  most needed

I feel that I can donate _______ hours per (circle one) week / month from now until ______.

Mail this completed form to “Spina Bifida Assoc. of AL” to

SBA of AL c/o P. Switzer

140 Lansdowne Drive

Madison, AL 35758

Or send an email with these details to AL_spina_bifida_support@hotmail.com

CONTACT US:   AL_spina_bifida_support@hotmail.com   •  256-617-1414 •    140 Lansdowne Drive, Madison, AL 35758