Connect With Us Form

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Northwest Kidney Kids Inc. mission is to offer hope and support to children with chronic kidney disease and their families. We provide prevention services, educational programs and group activities that empower Kidney Kids to take charge of their health, embrace their future and achieve lifelong success.

The purpose of this form is to allow NW Kidney Kids volunteers and staff to contact you and keep you informed about programs, volunteering, or upcoming events. You can also use this form to update your contact information or get on our mailing list to receive future correspondents.

Your contact information and other information you provide here are held in strict confidence and will not be shared with anyone else.

First Name *

Last Name *

Email address *

Address

City

State

Zip

Phone number *

What are you interested in hearing from us about? *

Upcoming events

Volunteering / Getting involved

Updating my contact information

Getting on your mailing list

I'm a new family and want to get connected

Other:

Required

I'm interested in volunteering in: (select all that apply)

Gala (our largest fundraiser of the year)

Strut Your Kidney (annual walk/run/roll)

Camp (we have both Youth and Family camps)

Unsure

Other:

Tell us your story related to kidney disease if you have one.

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