Request PCHEA Membership
* indicates a required answer.
Please answer the following questions to request financial assistance.
Phone Number (area code first)
Number of Children
Age Range of Children (Select all that apply.)
Reason for Requesting Assistance
Members who receive financial assistance commit to volunteering their time to organize a PCHEA field trip during the current membership year. (Instructions for organizing field trips are provided on the web site when members log in.)