2024-2025 Refresh NTX Application

Refresh NTX Enrollment Application

2024 - 2025 School Year
Our mission is to ensure that every child in our community has access to personal hygiene items.

Hygiene Packs: Tailored for students, these hygiene packs are filled with daily essentials like toothpaste, toothbrush, shampoo, conditioner, body soap and more. Middle and high school students receive extra items such as shaving cream, deodorant, and menstruation products. Seasonal items like sunscreen and hand sanitizer are also included, based on availability.

Quarterly Distribution: Packs are either picked up during our drive-thru distribution or sent home from school with your child every three months, starting in August.

Signing Up: To join our program, please fill out this form for each child. Once enrolled, you will receive details about pack pickup dates via email and text before each distribution.

Additional information on Refresh is available online at refreshntx.org.
Thank you for your submission! Your information has been successfully recorded. To add an additional child, please proceed by clicking the 'Next' button below.
NewChild
Parent's Name*

First NameLast Name
Email*
example@example.com
Cell Phone Number*
Please enter a valid phone number.
Is your child eligible for the Free & Reduced Meal Program?*

YesNo
Important Program Eligibility Information

In order to qualify for our program, you must be eligible for the Free & Reduced Meal Program. If you have questions or need further information, we encourage you to speak with your campus counselor. Thank you for your understanding that we cannot enroll you into our Refresh program without this qualification.
Refresh NTX Enrollment Application

2024 - 2025 School Year
Child's Name*

First NameLast Name
Student ID*
You must enter a VALID student ID or we cannot guarantee they will receive a pack
Child's Date of Birth*

MonthDayYear
Grade*
School District*
Frisco ISD and Other Frisco Schools*
Your child must be enrolled and attending this school to participate in the program.
Little Elm ISD Schools*
Your child must be enrolled and attending this school to participate in the program.
Denton ISD Schools*
Your child must be enrolled and attending this school to participate in the program.
Refresh NTX Enrollment Application

2024 - 2025 School Year
Ethnicity of Child*

CaucasionNative AmericanAsianAfrican AmericanHispanicPacific IslanderOther
Do you prefer extra moisturizing products for coarse/curly hair?*

YesNo
Gender*

This child prefers Female productsThis child prefers Male products
Menstruation Product Preference*

PadsTamponsNone
Pack Code
Final Pack Code
Do you want to add an additional child?*

YesNo
Communication Consent and Program Participation Agreement

Your signature below indicates that you are freely and willingly giving consent for your child to participate in this program. You are also acknowledging that if your child has allergies to any scents or products, or if you have a concern about your child ingesting products not meant for ingestion, you will check the pack before allowing your child to use the products. In addition, permission is given to Refresh NTX to utilize both your child's/your likeness for any and all promotional purposes. You understand the information gathered on this application will be kept strictly confidential and used only for nonprofit/educational purposes.

Furthermore, by signing below, you consent to receive communications from Refresh NTX via email and text, including updates, news, and information about our programs and events. These communications are intended to enhance your and your child's experience with our program. You have the freedom to opt out of receiving these communications at any time by selecting the 'unsubscribe' link located at the bottom of our emails.
Do you agree to the Communication Consent and Program Participation Agreement and consent to receive communications as described?*

Yes, I agree.No, I do not agree.
Note: You must select 'Yes, I agree' to participate in the program.
To participate in the program and submit this application, you need to choose 'Yes, I agree'
Thanks for stopping by!

Our enrollment form for the 2025–2026 school year is now available here:

👉 https://form.jotform.com/251133992714155
Translation Disclaimer: Please note that the translations of this form have been generated by artificial intelligence (AI). While we strive to provide accurate and helpful translations, there may be variations or inaccuracies compared to the original content. If you have any questions or need clarification on any information presented in your preferred language, please do not hesitate to contact us.
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Refresh NTX Enrollment Application

Thank you for your submission! Your information has been successfully recorded. To add an additional child, please proceed by clicking the 'Next' button below.

Refresh NTX Enrollment Application

Refresh NTX Enrollment Application

Communication Consent and Program Participation Agreement