HOPEful Kids After School Program Application
 
HOPEful Kids After School Program Application
Parent/Guardian  * 
Your Email Address  * 
Address, City, State, Zip  * 
Phone Number  * 
Parent/Guardian
Email Address
Address, City, State, Zip
Phone Number
1st Child’s Name (MUST BE ENROLLED IN K-5)  * 
Child's Age and Birthdate  * 
School Attending  * 
2nd Child’s Name (MUST BE ENROLLED IN K-5)
Child's Age and Birthdate
School Attending
3rd Child’s Name (MUST BE ENROLLED IN K-5)
Child's Age and Birthdate
School Attending
4th Child’s Name (MUST BE ENROLLED IN K-5)
Child's Age and Birthdate
School Attending
5th Child’s Name (MMUST BE ENROLLED IN K-5)
Child's Age and Birthdate
School Attending
Total $
 
 
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