Local Child In Need Form
Hike Kidz Foundation is a 501c3 non profit Charitable organization whose mission is to reach and help underprivileged children through local partnerships and initiatives. At this time we are accepting applications for emergency relief with our Grace Fund only (48 hours emergency shelter relief) and our Boxes Of Basics partnership program. If you are without housing for the next 48 hours, with a child or children, please fill out the form below. We do not offer assistance with electrical bills, auto, rent. We do not give cash or gift cards. Please read our website for a description of the Grace Fund, Hearts program, and Boxes of Basics.
Personal Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Who referred you to this form?
*
Example: Police Department, Non Profit, Church, Department of Social Services
If this request is for someone else, do we have permission to contact them?
Yes
No
Name of Parent/Guardian
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Child/Children in Need
Please share any information if you know of a child in need.
How many children do you have
*
Relationship to Child/Children
*
Biological Child
Adopted/ Foster Child
Stepchild
Grandchild
Sibling
Niece/ Nephew
Other
What is your situation?
*
What is needed?
*
Please tell us about the location of where you live or the child/children live that are in need of assistance.
*
Any other information you would like us to know.
*
Signature
*
Submit
Should be Empty: