Membership Registration

If you would like to become a member of the Maryland Healthy Schools Coalition and receive advocacy information and invitations to our meetings/events, please complete the form below. Any person who is interested in improving the health status of students in Maryland schools may join. We welcome any and all individuals who want to become involved! Thanks!

You may download this form and mail it to the address at the bottom of the form. You may download it in PDF or in Microsoft Word.

First Name: Last Name:

Mailing Address:

Mailing Address, Line 2:

City:

State: ZIP/Postal Code:

County:

Email:

If you are associated with a school, community group, or agency, please enter it here:

Any Comments?

Thank you!