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Hand in Hand
620 Ocean Ave.
Long Branch, NJ 07740

Telephone:
732-229-2424
Fax:
732-728-2267
Email:
info@hhnj.org

 
 
Home » Volunteer Registration     
Volunteer Registration

Please fill out our Volunteer Registration form below:
Fields marked with an asterik * are required.

Contact Information
First Name:*
Last Name:*
Gender:
Date of birth:* Month: Day: Year:
Age:
Phone Number:*
Cell Phone:

Sign-in Information
Please enter a valid e-mail address and select a password for your registration.
You will need this e-mail and password to use the online report cards.
E-mail Address:*
Password:*
Confirm password:*



Mailing Address
Address:
City:
State / Province:
Country:
Zip Code / Postal Code:


I would like to volunteer for:
When would you like to volunteer at a special needs child’s home?
1st choice      
Day of the week: Time:
       
2nd choice      
Day of the week: Time:
 
Do you have a friend with whom you'd like to volunteer? Yes No
If yes please provide your friend’s name:
Are your parents available to drive you to or from a child’s home? Yes No
 
 
I agree to keep all information about my circle friend and their family confidential.
In the event that I am unable to volunteer I will try to find another day to substitute and I will call my special friend in advance.

Other
School:
About me:


*Type the code you see in the picture below.(Letters are not case-sensitive)








   
   
   

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