Patch Testimonials Please enable JavaScript in your browser to complete this form.Name *FirstLast*This will NOT be shared publically.Email *PhoneHow would you like to be referred to in posts? *SELECT ONEFull NameFirst Name OnlyFirst Name & Last InitialFirst & Last InitialsAnonymous Client/Parent/EtcOther – Please specify belowHow are you connected to Project Patch? *SELECT ONEFormer ClientParent of Current/Former ClientGrandparent of Current/Former ClientFamily Member of Current/Former ClientCurrent/Former Staff MemberOther – Please specify belowAre you willing to talk with prospective families?YesNoPlease share your Patch story or memory!Please upload pictures here: Click or drag a file to this area to upload. Any other information you'd like to share?By using this form I agree with the storage and handling of my data by this website in accordance to their Privacy Policy.Project Patch Privacy Policy: Project Patch’s website is not set up to collect or distribute personal information not entered by its visitors. Our site logs do generate certain kinds of non-identifying site usage data, such as the number of hits and visits to the site. This information is used for internal purposes by technical support staff to provide better services to the public and may also be provided to others, but again, the statistics contain no personal information and cannot be used to gather such information. A cookie is a small amount of data that is sent to your browser from a Web server and stored on your computer’s hard drive. Project Patch uses non-identifying cookies to provide easier site navigation and access to forms. Project Patch cookies do not generate personal data, do not read personal data from your machine and are never tied to anything that could be used to identify you. We do not sell information.Submit Share this:Click to share on Facebook (Opens in new window)Click to email a link to a friend (Opens in new window)
Patch Testimonials
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