Peer 1 On 1 Participant Family Application Form

Please use this form to sign up as a Participant for Autism Peer 1 on 1 Philadelphia Sunshine Team.

Questions?

Volunteer / Participant Coordinators:

Rui Fan — fccc198@gmail.com  
Meihua Zhang — meihuazhang82@gmail.com
Yun Li— yunliyunli@gmail.com


Technical Support:

Lin Fan — lfanlovemom@gmail.com

Important Note:

A parent or guardian must co-sign waive forms at the end. Please complete the forms and email them to meihuazhang82@gmail.com and fccc198@gmail.com.

Our Volunteer / Participant Coordinators will reach out to you soon!

Sign in to Google to save your progress. Learn more
Untitled Title
Participant First Name *
Participant Last Name *
Participant Pronouns *
Grade Level *
  Participant Email

*
Participant Phone Number *
Participant Home Address *
School *
Parent or Guardian FIRST Name - if not applicable write N/A *
Parent or Guardian LAST Name - if not applicable write N/A *
Parent or Guardian's Phone Number *
Available Days
Which activities are you interested in participating in? (Choose all that apply) *
Required
Have you and your parent or guardian signed the waiver forms?  

A parent or guardian must co-sign waive forms. Please email signed forms to
 meihuazhang82@gmail.com;  yunliyunli@gmail.com; fccc198@gmail.com.

Download the Waive forms

How to Add a Signature in Google Docs
1. Click where you want your signature to go.
2. Go to Insert → Drawing → New.
3. Click the Line dropdown and choose Scribble.
4. Draw your signature with your mouse, trackpad, or touchscreen.
5.Click Save and Close.
*
We welcome any comments and suggestions! 
Thank you!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report