This form will close on Friday, November 19, 2021. If you require assistance, please email holidaygiftcard@speakupnow.org. Volunteer InformationFirst Name(Required)Last Name(Required)Email(Required) Phone(Required)Advocacy Supervisor(Required)Gift Card InformationHow many of your assigned youth can we provide a gift card to?(Required) One Child Two Children Three Children Four Children Five Children Six Children Child's Name (First Last)(Required)Child's Age(Required)Second Child's Name(Required)Second Child's Age(Required)Third Child's Name(Required)Third Child's Age(Required)Fourth Child's Name(Required)Fourth Child's Age(Required)Fifth Child's Name(Required)Fifth Child's Age(Required)Sixth Child's Name(Required)Sixth Child's Age(Required)
