Member Detail

Participant Info

First Name

John

Last Name

Peacock

Address

City

State

Country

Zip Code

80011

Phone

Email

peacockjohn@outlook.com

List family members under 18 that are joining the MHBC:

Where did you hear about us?

List any skills or experience you have that could help the MHBC: (Ex. social media, hiking expertise, grant writing, non-profit work):

What are the most important things the MHBC can accomplish? (Ex. kids club, lobbying, scholarships):

Are you willing to give a presentation or lead a field trip?

Yes

Do you want to receive our newsletter, and occasional announcements?

Yes