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 volunteer@kitstoheart.org 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.
Required
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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