Please enter a number from
Where do you currently live?
Which category best describes you?
I am a registered Yachad Member
I used to be a Yachad Member but now do other things aside from Yachad
I sometimes attend Yachad programs as a participant but am not an official member
I am a member of another organization for individuals with developmental disabilities
I am a High School student in a Mainstream School
I am a mainstream peer at Yachad events or Yachad summer programs
I am an advisor at Yachad programs
I used to be a Yachad Advisor but am not actively involved in Yachad right now
I am an adult peer / friend of Yachad
Which school or organization are you part of?
Is there anyone in particular from Yachad you would like to connect with through this program?
No one in particular / I'm looking to meet someone new
Yes (please type the name of your request in the box below)
If yes, please provide us with their contact information.
What are your interests or hobbies?
If the opportunity arises, would you potentially be interested In participating with more than one buddy?
How did you hear about this program?
By submitting this form you grant permission to Yachad to share your contact information with your buddy.