Refer a Child
At this time, we are only accepting referrals of children who live in the Gresham/Rockwood area.
Child's Full Name *
Your answer
Child's Age *
Your answer
Does this child live or stay in Gresham/Rockwood? *
Referring Party's Name *
Your answer
Email
Your answer
Contact Phone *
Your answer
Relationship to Child *
School Child Attends *
Your answer
Primary language spoken in child's home
Your answer
Does child's parent/guardian have a working level of spoken English? (Still eligible if answer is 'no')
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