Program Registration

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The following form is to register individuals and families for Hopeprint programs and offerings. It can be filled out by those who are looking to be a part of Hopeprint, or by any community member or service provider who has gained permission from the individual/family to do so.

Michelle Mahoney or another of our team members will contact the individual/family registered within two weeks of receiving your form to connect you with the most helpful gatherings and resources we have to offer to guide you towards. 

Note: If you are looking to volunteer (not participate), please go to www.myhopeprint.org/volunteer

This form is being completed by... *
Select the best option
Household/Family Information
Head of Household Name *
Head of Household Name
Home Address *
Home Address
Home Phone
Home Phone
Please select your nation of origin/where you were born:
Emergency Contact Information
Emergency Contact Phone
Emergency Contact Phone
Adult Information
Please enroll Man/Father in:
Please enroll Woman/Mother in:
Children/Youth Information
Please enroll Child # 1 in the following program:
Select one
Please enroll Child #2 in the following program:
Select one
Please enroll Child #3 in the following program:
Select one
Please enroll Child #4 in the following program:
Select one
Please enroll Child #5 in the following program:
Select one
Release Form
Parent/Guardian/Adult Release *
Check each box to state that you agree
Please type your name stating that the information entered is correct and you agree to all that is stated.