Chapter Membership Form

Chapter Membership

Bright Mind members are passionate about serving the community, including through our Street Care work to help homeless people. We want you to help us continue to reach even more people in need! You and your friends can significantly impact your community by being a part of the team (Click here to find out what chapter membership entails).

First Name

Last Name

Email Address

Phone Number

Number of hours available to volunteer (weekly)

How did you hear about us?

Please specify name is needed

Are you under 18 years old?

Why do you want to volunteer at Bright Mind?

Address

Address Line 1

Address Line 2

Zip Code

Country

City (not required but very helpful if you can add)

State

By signing below I agree to be a volunteer member of Bright Mind and to uphold the chapter’s regulations and values (brightmindenrichment.org/about-us/), as may be amended or updated from time to time in Bright Mind’s sole discretion.

Signature (If minor, Guardian's signature)

Name

Date of Signature

Comments. Please add more information about how you heard about us.

To be able to keep offering chapter membership without charging (as we do) and helping people as much as possible, we need support from everyone able to donate! If you can donate $10, that will cover minimal costs for yourself for a year. $20 will provide for a member in need, too. $200 will cover minimal funding for an entire chapter for a year. Please donate at brightmindenrichment.org/donations/. Thank you!

You can submit this form or for any other help in filling the form, please email us at: info@brightmindenrichment.org.

Chapter Membership Form

Chapter Membership

Street Care

Bright Mind

Vaccination Rewards