Hope Alive 845 Program

Hope Alive 845 INC Program
Child Information
Child's Name

First NameLast Name
Birth Date

MonthDayYear
Grade (as of next school year)
Gender

MaleFemale
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent/Guardian Information
Name

First NameLast Name
Home Number

Area CodePhone Number
Cell Number

Area CodePhone Number
E-mail
How Can We Help With Your Child.
Informed Consent and Acknowledgement

I hereby give my approval for my child To speak to Hope Alive 845 INC About Runing away.

Details and Information

Hope Alive 845 INC is a Non Profit Organization for Missing Children and Adults. Hope Alive 845 INC also Deals with High Risk run away children. Hope Alive 845 INC is willing to speak to children with Parents Permission about reasons why running away is not good. Hope Alive 845 INC Does not charge any whats so ever fees to speak to a child. Our goal when speaking to a child is to have understand the importance of not running away from thier home.
Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
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Hope Alive 845 INC Program