Tomorrow a Child

VOLUNTEER FORM

Virtually all of Tomorrow A Child's staff volunteer their time and energy to help couples achieve their dreams.

Sorry, we do not allow urls in the comment field. Please go back to correct it.

"); } if(((($liame) && strstr($liame,"@") && strstr($liame,"."))||($RequireEmail=='0')) && ($totaltime>='2')){ if($InsertDB == 1) { $newid = insert($Name,$Home_Phone,$Cell_Phone,$Fax,$Best_Time,$liame,$City,$Comments,$category,$http_referrer,$ip); } sendEMail($emailto,$subject,$Name,$Home_Phone,$Cell_Phone,$Fax,$Best_Time,$liame,$City,$Comments,$category,$http_referrer,$ip,$newid); message('Thank you.

Your information has been submitted.'); }else{ echo '

There was an error submitting this form. Please contact our office. (TT-'.$totaltime.')

'; } break; default : showFrm(); } function showFrm() { ?>

Name:*
Home Phone:*
Cell Phone:
Fax:
Best Time to be Reached:
Email Address:*
City, State:
Comments:

"); return; } function message($message) { echo "

$message

"; } ?>