DCRN Partner Sign-Up Form

First Name *

Last Name *

Phone *

Email *

Social Media Link *

Organization Name *

Contact Role/Title *

City *

State *

Partner Type *

Areas of Partnership Interest *

How Would You Like to Partner? *

Geographic Coverage *

Interest in DCRN Activities *

Current Capacity to Support *

Ready to support immediately

Limited capacity (case-by-case)

Seasonal or project-based

Exploring partnership opportunities

Additional Notes / Partnership Ideas

Acknowledgement & Agreement *

I understand that submitting this form does not guarantee partnership and that DCRN will follow up based on alignment, capacity, and community needs.

By checking this box, I consent to receive non-marketing text messages from [BUSINESS NAME] about [USE_CASE_FROM_CAMPAIGN_DESCRIPTION]. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others.from [BUSINESS NAME] at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.