Join Us

Interested in joining our organization?
Our organization is here to assist families with the challenges of upper limb differences.

Fill out our form below to apply, or email us directly at president@unlimbitedpossibilities.org with any questions.

Last Name:
Parent/Guardian(s) First Names:
 
Street Address:
City:
 State:
 Zip Code:
Phone Number:
Email:
Child's Name:
 Date of Birth:
Brief description of limb difference or diagnosis:
Sibling(s) name(s):
 Date of Birth:
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