You have to complete one application per child. All questions with * have to be answered (if not applicable, put NA or no).
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Age and Date of Birth
Social Security # (Optional)
Child school and grade
Child's cell and email
Ethnicity (check all that apply)
Native Hawaii/Pacific Islander
Multiracial (specify below)
Is your child currently on probation?
If your child is on probation, what is the probation officer name and unit, and the reason for referral to juvenile probation
Does this child have a significant family member (parent, sibling, grandparent, etc.) who is
If you answer anything else than no to the question above, how does this person related to your child?
Does your child have or identify with any of the following:
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