Spina Bifida Of Greater Saint Louis

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If you would like to join the Spina Bifida of Greater Saint Louis group or just find out more information fill out the below form and a member will get in touch with you as soon as possible.   Existing members are also asked to fill this out on a yearly basis so we can ensure we have your correct contact information. If you would prefer to fill out a paper form you may by clicking here 2009 Membership Form First Name:   Last Name: Address1:    Address2:    City: State: ZIP: Phone Number: Email Address: Do you wish to receive the newsletter via email Yes No How are you associated with Spina Bifida? Parent of child with Spina Bifida      Childs Name  Childs Birthdate MM/DD/YYYY      Hospital / Clinic Name  Adult with Spina Bifida      Hospital / Clinic Name  Supportive Relative or Friend      Please Specify  Professional person working with persons with Spina Bifida      Please Specify       Comments Are you an existing member: Choose One Yes No Check any and all areas where you have an interest and would like to help. Birth-Pre-K Group   K-10 Group   Adult Group Spring or Fall Family Campouts at Babler   Spring Golf Scramble/Fundraiser Newsletter   Trivia Night   Christmas Party Annual Walk n Roll   Publicity      What would you like your association to work on?      What can you do to help your association? ?