Child Life Group Profile Form

Dear Regional Child Life Group,

Thank you for choosing to share information about your regional group. In addition to participating in networking experiences offered directly through the Association of Child Life Professionals (ACLP), we encourage Child Life Specialists to reach out to regional child life groups that may provide them with further opportunities to connect with peers in designated geographic areas.

Please provide your group name as it should be reflected online.*

Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Website address

Is this group for students or professionals?*

ProfessionalsStudentsBoth

In which region of the United States should your Child Life Group be submitted?*

Please select area(s) served:*

Statement of Purpose:*

0/100

Do you charge any fee(s) to join?*

YesNo

How much are your fees?

Please select the frequency these fees should be paid?

Please share a link or email address where someone can join/apply: