HOPEworks Registration
Please fill out the information below to register your student for HOPEworks. Wednesdays: 5th-8th Grade / Thursdays: 9th-12th grade
Student's Full Name
*
First Name
Last Name
Student's Phone Number (if applicable)
Please enter a valid phone number.
Format: (000) 000-0000.
Student Email (if applicable)
example@example.com
Student's Date of Birth
*
-
Month
-
Day
Year
Date
Where does your student go to school?
*
What grade is your student currently in? (Must be in 5th grade or above to attend)
*
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Parent/Guardian Email Address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Emergency Contact Name
*
First Name
Last Name
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Is there anything we need to know about your student that will help us better meet them where they are?
*
Is it ok to add your phone number to our HOPEworks text thread?
*
Yes
No
If yes, please list the phone number(s) below you'd like for us to add
*
Please enter a valid phone number.
Format: (000) 000-0000.
Please enter a valid phone number.
Format: (000) 000-0000.
Do you grant HOPEworks permission to share pictures/videos of your student on social media?
*
Yes
No
Register
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