Share your past service experience and read about them on the Past Service Experiences page!

If you are under age 13, please fill out this form.

If you are 13 or older, please fill out the following form.


Name *
Name
Date of Service
Date of Service
Would you reccomend this experience to other kids? *
May we contact you to talk more about your service Experience?
IF YES
Best Phone Number
Best Phone Number
By your signature below, and your parent’s signature if you are under 13 years of age, you agree to permit the Starfish Project for Children to list your service experience, described above on the Starfish Project for Children website.
Your Signature *
Your Signature
Date
Date
Date
Date