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
[?]
*
Parent/Guardian
Adult Volunteer
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
Year
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
Year
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
Year
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
Year
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
Year
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
Year
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
Year
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
What type of event would you like 30Every30 to engage in future:
*
Animals
Senior Citizens
Kids Helping Kids
Greenwich Schools Support
Other
School:
*
Public schools in Greenwich
Private schools in Greenwich
Other
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?
*
Any Day After School
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
What time slot works best to select your 30Minutes?
*
9:00am to 11:00am
11:00am to 2:00pm
2:00pm to 5:00pm
5:00pm to 8:00pm
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?
*
Direct email from 30Every30
From a friend
Saw a Lawn Sign while driving
Read a flyer at a store
Read about you on the GreenwichCT.org website