PEP Chapter Application
Thank you for your interest in starting a PEP chapter! After we receive this form, we will contact you within 7 business days with the next steps for your chapter.
Please keep in mind that starting a chapter requires commitment and you must maintain a close relationship with your local pediatric hospital and your team members.
If you have any questions, please email contact@pepgeorgia.org
Please keep in mind that starting a chapter requires commitment and you must maintain a close relationship with your local pediatric hospital and your team members.
If you have any questions, please email contact@pepgeorgia.org
First and last name: *
Email: *
Grade and age: *
City and state: *
School, state and region: *
Type of chapter: *
Who are the other people/officers involved in your chapter and their phone numbers?
SUBMIT