Group Activity Application

Complete this form to apply for a group activity at UNC Hospitals for your volunteer organization.

Volunteering Organization (Required)

Your organization's mission: (Required)

Please provide a brief explanation of your organizational mission, goals, objectives.

Total number of people in your organzation: (Required)

Numerical value only

Number of people to volunteer during shift: (Required)

Pediatric Playroom can only have up to 6 volunteers at a time

Name of Contact Person: (Required)

Person must accompany the activity/responsible party.

Address: (Required)

City: (Required)

State: (Required)

Two letter abbreviation i.e. NC

Travel time to UNC Hospitals: (Required)

Telephone number: (Required)

000-000-0000

Your E-Mail Address (Required)

Confirm E-Mail Address (Required)

Availabilty:

The Pediatric Playroom is open Mon-Fri: 11-12; 2-4; 6-7 and Sat-Sun: 2-4. Groups must arrive at the N.C. Children’s Hospital Lobby Info Desk at UNC Health Care 15 minutes prior to activity.

Activity Dates (Required)

Please provide several options if possible.

View the Peds Playroom Calendar

Number of Visits Requested: (Required)

Numerical value

Desired area: (Required)

Pediatric Playroom Volunteers should bring a planned activity (i.e. arts and crafts) A *board game* is not considered a planned activity.

Please describe activity (Required)

Sections

Group Activity Application