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  • Refresh NTX Enrollment Application

    Refresh NTX Enrollment Application

    2025 - 2026 School Year
  • Our mission is to ensure that every child in our community has access to personal hygiene items.

    What is included in each hygiene pack? Tailored for students, our hygiene packs are filled with full-sized, 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.

    When and how are packs provided? Packs may be either picked up from our warehouse during our drive-thru distribution days or be delivered to your child's campus and sent home with them. Packs are provided every three months, beginning in August of each school year.

    Who is eligible for this program? Students in Pre-K through 12th grade, who are eligible for the Free & Reduced-Price Lunch Program and attend a participating campus, may enroll in the program.

    How do I sign up my children? To join our program, please fill out this form for each child. Once enrolled, you will receive details about pack pickup dates via email 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.

  • Refresh NTX Enrollment Application

    Refresh NTX Enrollment Application

    2025 - 2026 School Year
  •  - -
  • Refresh NTX Enrollment Application

    Refresh NTX Enrollment Application

    2025 - 2026 School Year
  • Demographics

    We'd like to gather some demographic information to help us apply for grants. Your responses will be kept completely confidential. We appreciate your honesty and willingness to share this information, as it will greatly enhance our ability to secure funding.

  • 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.

  • 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'

  • 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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