Membership Registration

Join us in improving child and adolescent health, education, and protection.

SECTION A: PERSONAL INFORMATION

Full Name

Date of Birth

Gender

Phone Number

Email Address

Residential Address (City/Town)

SECTION B: EDUCATION & OCCUPATION

Highest Level of Education

Current Occupation / School

SECTION C: VOLUNTEER INTEREST & SKILLS

Areas You Would Like to Volunteer In (tick all that apply):

Health outreaches & screenings Teaching / academic support Media / Photography Fundraising & donations

Relevant Skills or Experience

SECTION F: EMERGENCY CONTACT

I confirm that the information provided is accurate. I understand that being a member of Touch of Hope Foundation requires professionalism and adherence to values.