Healthy Start Coalition of Pinellas Membership Application First Name (required) Last Name (required) Title (required) Street Address (required) Your Email (required) Work Phone (required) I am interested in: (check all that apply) Donate or recruit donations of new baby items, safe sleep items (new Pack n Plays, sheets, diapers,Have your group (civic, networking, social, book club, etc.) have a diaper/new baby clothing/baby boHave a Coalition speaker at your group (civic, networking, social, book club, etc.)Provide free meeting space.Volunteer to help us at events. I would like to join: (check all that apply) Finance CommitteeQuality Improvement and Planning CommitteeFetal Infant Mortality Review TeamFund Development CommitteeBoard of Directors Δ
