School / Org Interest Form

If you are a school/organization interested in partnering with us, please fill out the form below and we will be in touch.

Organization / School Name*

Website or Social Media Page

Main Contact Name *

Main Contact Role / Title*

Email Address*

City, State*

Estimated number of youth served*

Tell us about the youth or community you serve. *

Do you primarily serve under-resourced communities?

Yes

No

Prefer to discuss

Would you like a one-time collaboration or ongoing partnership?

One-time

Ongoing

Not sure yet

Preferred format

In person

Virtual

Take-home materials

Hybrid

Approximate number of kits or participants requested

Desired date or timeframe*

Please describe your event, program, or need. *

What wellness topics would be most helpful for your youth?*

Sunscreen / sun protection

Oral care

Preventive health habits

Self-care / wellness basics

Other

Any language, accessibility, or cultural considerations we should know?

Delivery or pickup location, if applicable

Is there a sponsor, budget, or donor support already connected to this request?

Anything else you’d like us to know?

protectthatglow@gmail.com

@Protect That Glow