The 4300 Club Membership Form

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The 4300 Club is a group of young professionals joining efforts to support the mission of the Home for Healing. The Club will work with the Executive Director and House Manager to identify and cultivate programs to enrich the lives of the Home’s guests while staying at the Home, including assisting with resource challenges guests may face. In addition, they will provide assistance to the other Board Committees as needed, including support for the House and Guest Needs, Monster Bash, Golf Tournament, Volunteer Committee, and host monthly service nights for the Home.

Name *

Email *

Preferred Address (Home or Business) *

Cell Phone Number *

Can we send you text messages? *

Yes

Employer Name

Title

Are you currently in high school? *

Yes

How do you want to get involved?

Grant Writing

Fundraising

Providing Meals

Host Donation Drives

Serving on an Event Committee

Volunteering

Providing a Service to Guests

Shirt Size *

Small

Medium

Large

Extra Large

XXL

XXXL

Required

Submit

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