Impact 100 Boston

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Junior Membership 2018 Grant Year

Impact 100 Boston Juniors

Impact 100 Boston Juniors is an opportunity for high school and college aged girls who are interested in giving back to their communities and learn about the world of philanthropy. Impact 100 Boston juniors will provide opportunities to serve in many ways throughout the annual grant process. Juniors will meet several times a year as a group, attend the Kick-Off meeting in January and assist with the annual Grant Awards dinner each May. The Junior fee is a donation of $200 due each grant year.  

Juniors must have a parent or guardian who is a member of Impact 100.

Donation ($200)

Please complete the following form or click here for a printable form, and mail your tax deductible $200 donation to: 

Lisa Cavallaro
Impact 100 Boston Juniors
20 Castlemere Place
North Andover, MA 01845

Questions? Email: info@impact100boston.org

Name *
Name
Address *
Address
Cell Phone *
Cell Phone
Parent/guardian Impact 100 Boston Member Name *
Parent/guardian Impact 100 Boston Member Name
Parent/Guardian Phone *
Parent/Guardian Phone
Emergency Contact Name *
Emergency Contact Name
Emergency Contact Phone *
Emergency Contact Phone
I hereby grant permission for photographs of my daughter to be used for promoting Junior activities. *
Parent/Guardian, please read and check.
I hereby release Impact 100 Boston, its members and chaperones from any claims or liability connected with or arising from my daughter’s participation at meetings and events.
Parent/Guardian, please read and check.