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Thrive New Hopewell After-School '25-'26 
This application is for Fall '25 - Spring '26. Students in 1st through 6th grade. Our program picks up students from their school (New Hopewell and Gap Creek Elementary) and goes until 6:15pm (Monday through Friday). Filling out this application does not guarantee your child a spot in the program. We will be in contact with parents/guardians when we have a spot open for your child. Thanks! :)
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Email *
Thrive New Hopewell (Monday's - Friday's: After School to 6:15pm)
Fall Dates: August 18th through December 12th 
Spring Dates: January 20th through May 15th
Location: New Hopewell Baptist Church (943 Kimberlin Heights Rd, Kimberlin Heights, TN 37920)
Important Information
1.) Thrive is a Christian, non-profit organization.
2.) Our program is free.
3.) Friday field trips can cost up to $5 per child (we keep parents informed each week what the field trip will be).
4.) We have a discipline system that is explained in detail in our Parent Handbook.

Date of Application
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Your Child's Information
Student's Full Name *
Student's Street Address *
Student's Gender *
Student's Date of Birth *
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Student's Current Age *
Student's Grade in School Year '25-'26 *
Which school does your child attend *
Student's T-Shirt Size *
What size shoe does your child wear?
In the School year, we will be picking the students up from New Hopewell and Gap Creek Elementary after the School day. We cannot guarantee any transportation after program. Pickup time will be promptly at 6pm each day. Do you have transportation for your child after program?
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Parent/Legal Guardian Information
Parent/Guardian's Full Name *
Relationship to Student *
Cell Phone Number *
Place of work *
Other Parent/Guardian Information 
(Optional)
Full Name
Relationship to student
Cell Phone Number
Email
Place of Work
Emergency Contacts
In case we need to get a hold of someone for your child and you or their other parent/legal guardian is not available.
1st Emergency Contact: Full Name *
Relationship to the Student *
Cell Phone Number *
2nd Emergency Contact: Full Name
Relationship to the Student
Cell Phone Number
Assuming that both legal guardians and emergency contacts are approved to pick up your child, who else is approved to pick up your child from Thrive? (Please also note here if there is anyone legally NOT allowed to pick up your child) *
Student Medical Information
Is your child currently under a doctor's care? *
If yes, please explain.
Is your child currently taking medicine? *
If yes, what medication and dosage?
Is your child allergic to anything? *
If yes, please list out allergies and severity.
Does your child have any breathing troubles? (Asthma, an inhaler, lung problems) *
If yes, please explain.
Is there anything else we should know regarding your child's health? (etc. behavior issues, medical information, learning disabilities) *
Can your child swim without the help of an adult or flotation device in deep water?
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Family Information
Number of people in household *
Number of siblings *
Names of siblings enrolled at Thrive *
Does your child attend Church? *
If yes, what Church does your child attend?
Program Information
It is necessary that your child comes to Thrive everyday, Monday through Friday, for the entire duration of program. If your child misses more than 20% of program time, arrives late, or leaves early frequently, this could jeopardize your child’s spot in our program. Is there any reason your child cannot attend program everyday?
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If yes, please explain.
Can you pick up your child from Thrive everyday in the school year (6:15pm)?
Clear selection
If no, please explain (you may qualify for van drop off).
Parent Handbook Agreement
Please read the entire handbook before initialing and agreeing to the policies below
NHW Parent Handbook - School Year 2025
I have read and understand the Parent Handbook linked above
(Please type your initials).
I have read and understand the behavior system (Please type your initials)
I have read and understand the expulsion policy (Please type your initials)
I have read and understand the attendance policy (Please type your initials)
Release of Liability
I, the parent/legal guardian of the student aforementioned, do hereby give consent and permission for their participation in the programming at SOAR Youth Ministries (DBA Thrive). I release the SOAR Staff, volunteers and any individual or organization participating with SOAR from liability. I acknowledge that my child is in good health and physical condition and is capable of participation in all desired activities. In the event I cannot be reached in an emergency, I hereby give permission to the physician selected by SOAR Youth Ministries to hospitalize and/or otherwise secure proper treatment for my child. I understand that the staff reserves the right to dismiss any participant whose influence and/or conduct becomes in any way harmful to the participant, other participants or staff. I agree not to sue SOAR Youth Ministries or any associated organization or sponsor for any injuries or damage of any kind that may occur as a result of participating in SOAR Youth Ministries (DBA Thrive).
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Field Trip Permission
My child aforementioned has my permission to participate in field trips sponsored by SOAR Youth Ministries (DBA Thrive). I understand that when my child brings money for a field trip, my child will go. If a field trip is free, my child will go. Field Trip Permission
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Photo Release
I, the parent/legal guardian of the aforementioned child, do hereby give SOAR Youth Ministries (DBA Thrive), or any person affiliated with SOAR, permission to take photos of my child to be used in promotions and advertising.
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Release of Educational Records
I, the parent/legal guardian of the aforementioned child, hereby authorize the release of his/her educations to SOAR Youth Ministries (DBA Thrive). This release covers all school records, including but not limited to, records pertaining to grades, test scores, special education, disciplinary records, attendance, and academic specializations. I understand that SOAR Youth Ministries (DBA Thrive) staff will regard as confidential and privileged any information thus released to them, and will use said information for the purpose of assisting my student academically. A copy of this authorization shall be as valid as the original. This authorization is effective immediately.
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Acknowledgement of Thrive Papermill's Cell Phone Policy
I, the parent/legal guardian of the aforementioned child, do understand that students are NOT allowed to use their cell phones while at Thrive. If a student has their phone out for any reason, it will be confiscated and returned to the parent/guardian at the end of the program day. If a parent/guardian needs to get in contact with their student throughout the program day, they may contact a Thrive Director and will be able to speak with their child.
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Parent Responsibility
If the student is enrolled, the parent/legal guardian will be required to come by the Thrive building within the first week of program. Parents must bring the student's insurance card, sign an additional waiver, attend a brief parent meeting, and receive a handbook.
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Please explain why you are interested in your child attending Thrive.
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How did you hear about Thrive?
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Any other information you would like us to know? 
Please feel free to contact New Hopewell's site directors with any other questions or concerns you may have! ☺️
Program Director: Alyssa Berg (615) 925-1447 | alyssaberg@helpusthrive.com 
Personnel Director: Kinna Magette (757) 653-4062 | kinnamagette@helpusthrive.com
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