Hope Youth contact information
Need to be added to our database or correct some contact information? Please fill out this form - the first section is for student information and the second section is for parent information. Note that all emails sent from our Realm database are automatically copied to the parent when we email students.
Student First & Last Name *
Gender
Clear selection
Student Email
Student Cell Phone Number
Is it OK for Hope Youth leaders to contact you by text?
Clear selection
Address
Birthdate *
MM
/
DD
/
YYYY
School
High School Graduation Year
What church do you consider to be your home church?
Parent Contact Information
A parent name and email is requested as it is our policy to copy parents in on student emails sent from Realm -- this is optional in case you do not wish to be added to our database. An emergency phone number is also requested.
Parent Name(s)
Parent Email(s)
Best Phone Number for Emergency -- please list whether it is a cell phone and who it belongs to.
Submit
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