TEXAS CHILDREN'S HOSPITAL FAMILY ACTIVITY FORM - Ronald McDonald House Houston

General Information

Group Name*

Primary Contact Information

Prefix*

Other Prefix

First Name*

Last Name*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Home Phone

Work Phone

Cell Phone

Email (Enter twice to verify)*

Enter Email Confirm Email

Has your group volunteered before with RMH Houston?*

Service Day Information

Our group will be providing the following:*

Group Size: 5 Age requirement: 16 and above

Menu Description

Please describe your activity plans:

Requested Date*

Second Choice Date*

How were you referred to Ronald McDonald House Houston?

Agreement

Do you plan on contacting media regarding your activity?*

If yes, please contact the RMH Houston Marketing Coordinator at mc@rmhhouston.org or 713.795.3583.

By checking this box, I understand that by submitting this application, I am not guaranteed to provide the service on the dates I selected above. All guidelines must be followed to ensure a successful and safe event for our volunteers and guest families. We reserve the right to refuse entrance to our participants not in compliance with our group guidelines.*

I agree

By checking this box, I agree that I have read and reviewed the guidelines for hosting a meal or activity at the Ronald McDonald House inside Texas Children's Hospital with my group.*

I agree

By checking this box, I understand that RMH Houston's minimum age guidelines are necessary for a healthy facility. I certify that each individual attending with this group is 16 years of age or older.*

I agree

General Information

Primary Contact Information

Service Day Information

Agreement

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