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Welcome to Ear Peace Foundation

and the New Parent Initiative

We look forward to working with you

to protect the hearing of our youth.

Please let us know a bit about you and your interests in order to best serve you.

First name*

Last name*

Email*

Name of Synagogue or School*

Position or Title*

Type of Organization*

Synagogue

Religious School

Day School

Other - Please Specify

Ages Served

Pre-K to Kindergarten

Elementary School

Middle School

High School

Adult Education

Other - Please Specify

Work Phone*

Cell Phone

Interested in Free Programs about Noise-Induced Hearing Loss (NIHL) and Its Prevention (check all that apply) *

HearO Saves the Day! (Book-based educational materials for Pre-K to 3rd Grade)

Classroom Program for Elementary Students(4th and 5th graders)

Classroom Program for Middle School, High School, and Older Learners

Program for Educators (professional development module)

Protect-A-Band Program (for Band Directors and their student musicians)

Other - Please Specify

Where did you hear about us?*

Comments

a 501 (c)(3) tax-exempt foundation

HEAR WHAT’S NEW!

To stay up-to-date on hearing health information, fill out the form on the next page to receive updates.

Take Me to the Form

info@earpeacefoundation.org

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