To complete the Junior Board application process:

1. Fill out the online Junior Board Member application

2. Complete and turn in all Member and Parent Champion paperwork

         a. Paperwork will be attached to confirmation email once this application has been submitted.  

Applicant Contact Information

Applicant Demographic Information


Caregiver/Parent Information

Question 1

Question 2

Question 3

I understand and agree to the following:

1. I agree that I, the individual filling out this form, am 13 years or older.

2. I understand that if ,I am under 16 years of age, an adult must accompany me to all meetings and events.

3. I understand that in order to complete the application process, I and my parents/caregivers, will complete and return all Member and Parent Champion paperwork  to Ranken Jordan Pediatric Bridge Hospital.