New Hope Youth Contact Information
This form is to consolidate and digitize our youth contact info. Please fill out 1 form per student.  Please reach out to if you have any questions regarding this form.
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Name of Student *
Student's Date of Birth *
Student Email
Parent/Guardian Name(s) *
Parent/Guardian Email *
Parent/Guardian, Phone Number A *
Parent/Guardian, Phone Number B
Residential Address of Student (if more than one, list all those applicable) *
Student Phone number (for Remind 101 purposes only)
Emergency Contact (Name, Relationship to Student, Phone) *
School Info (District, School, Current Grade) *
Siblings (Name, Age)
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