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College Outreach 2021

Please fill out the form below  to enroll your student and send an $18.00 donation per student to help cover the cost of filling and mailing the care packages. 

Your Student MUST be enrolled in our Young Adult Membership program to be part of Park's college outreach.

My student is already a Young Adult Member $0.00
Sign my student up as a Young Adult Member $72.00
Yes, contact me
No, do not contact me

Account Details

Enter your name and e-mail address for your confirmation:

Payment Information

Increase the amount by 3% to cover credit card fees. Please select YES to increase your payment.

For added Security please check the box below.