HOPEful Kids Summer Program Application
 
HOPEful Kids Summer Program Application
Parent/Guardian  * 
Your Email Address  * 
Address, City, State, Zip  * 
Phone Number  * 
Parent/Guardian
Email Address
Address, City, State, Zip
Phone Number
Non-refundable Application Fee - $100 per child with a $200 maximum fee  * 
1st Child’s Name (MUST HAVE COMPLETED KINDERGARTEN)  * 
Child’s Age and Birthdate  * 
2nd Child’s Name (MUST HAVE COMPLETED KINDERGARTEN)
Child’s Age and Birthdate
3rd Child’s Name (MUST HAVE COMPLETED KINDERGARTEN)
Child’s Age and Birthdate
4th Child’s Name (MUST HAVE COMPLETED KINDERGARTEN)
Child’s Age and Birthdate
5th Child’s Name (MUST HAVE COMPLETED KINDERGARTEN)
Child’s Age and Birthdate
Total $
 
 
Online Giving Powered by Easy Tithe