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Welcome to Ear Peace Foundation
and the Ozen 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*

Type of Organization*

Synagogue

Religious School

Day School

Other - Please Specify

Name of Synagogue or School*

Zip Code of Synagogue or School*

Your Position or Title*

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) *

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)

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

Other - Please Specify

I give permission to include my name and the name of my Synagogue or School as participants in the Ozen Initiative.

Yes, I'm excited to participate

No, I prefer not to at this time

Please sign me up for the Ear Peace Foundation mailing list. I understand that my information will not be shared with anyone else and that I can easily unsubscribe at any time.

Yes, please.

Not at this time.

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

info@earpeacefoundation.org

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Welcome to Ear Peace Foundation and the Ozen Initiative

We look forward to working with you to

protect the hearing of our youth.

info@earpeacefoundation.org

HEAR WHAT’S NEW!

Welcome to Ear Peace Foundation
and the Ozen Initiative