Everyone Can Help!

I want to help the children in the following ways (check all that apply):

1. I am interested in spreading the word about the existing child-care crisis in the following ways (check all that apply)

Participating in our website outreach by emailing our "Adoption Awareness Alert" to a minimum of 5 people
Becoming a BAPRC contact person for my organization
Advising us of upcoming community events or conferences
Serving on a "specific event" committee if needed
Placing or posting a flyer at my workplace or other location

Other (explain - 200 Character Max)

2. I am interested in making a donation (select one) (Tax ID. # 94-2910400):

$25.00 $50.00 $100.00 $500.00 $1,000.00 Other By making an individual donation (select amount)
By advising you of my company's workplace giving campaign
By making a donation through my workplace (we are set up through United Way)

3. I would like to be a child care provider. I can be available to help supervise children at one of BAPRC's events.

Name
Address
City
State
Zip Code
Telephone Number
Email
By Email By Telephone By Snail Mail How would you like to be contacted?