Club Chapter Interest Form
Thank you so much for your interest in forming a Kits to Heart club chapter at your school! To get a better idea of your interest, please fill out this form. You will receive a follow-up email within seven (7) business days.

There are currently Kits to Heart clubs at the following schools:

— Northwest High School
— Bethesda Chevy Chase High School
— Winston Churchill High School
— Thomas S. Wootton High School
— Albert Einstein High School
— Richard Montgomery High School
— Poolesville High School
— Maret School
— Quince Orchard High School
— Clarksburg High School
— Georgetown Visitation Preparatory School
— Walter Johnson High School
— Pikesville High School
— Walt Whitman High School
— St. Andrews Episcopal School
— Col. Zadok Magruder High School
— Hallie Wells Middle School
— Saint John's Catholic Prep

If your school is listed above, please do not fill out this form and reach out to for more info on how you can join your school's club!
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Email *
Full Name *
School Name *
At which school would you like to start your chapter?
Current Grade *
e.g., 9th, 10th, 11th, or 12th grade
How did you hear about Kits to Heart? *
Do you have a faculty sponsor? *
A faculty sponsor may be required to start a club at your school.
Which volunteer opportunities would you like your club to start with? *
Feel free to choose 1 or more.
Why do you want to start a chapter at your school? *
Please share a few reasons why you would be the best person to start this chapter as Club President and to lead your peers in serving those affected by cancer.
A copy of your responses will be emailed to the address you provided.
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