First Name *
Last Name *
Additional Parent/Guardian Name
First Name
Last Name
Telephone *
Email Address *
Mailing Address
Role: Parent/Guardian, Adult Volunteer or a Teen Leader [?] *
If you are a Parent/Guardian, may we put you on list for potential Adult Volunteers? Yes No
Child/Children: First Name, Last Name, and Year of Birth

What type of event would you like 30Every30 to engage in future: *
School: *
If you selected other, please indicate schools
Life is so busy! Tell us how we can work around your schedule. What day of week is ideal to hold events? *
What time slot works best to select your 30Minutes? *
What ideas or contacts can you share with us to help us be successful and ensure that our invitations focus on organizations that are important to you? We want to support activities that will interest your children and get them engaged.
What are we missing, what else is on your mind?
How did you hear about us? *