Clone of Local Child In Need Referral Form

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.
Hike Kidz Foundation understands that families sometimes face unexpected emergencies and difficult situations. This form helps our team quickly review urgent needs and connect families with available support and community resources.

At this time Hike Kidz Foundation is offering assistance with:

Back to School Clothing assistance in partnership with the Warren County Public Schools and Boxes of Basics. This is on a refferal basis only from the schools.

Emergency Shelter for our Grace Fund Program: Must have children and need immidiate shelter.

Our hearts students reffered to us by the Warren County Public Schools.

We are not able to handle food requests at this time. Please visit our resource page.

We are not able to fufill additional Boxes of Basics at this time: Boxes of Basics closes during the summer.

Our programs are managed by our case worker that has refferals from the Warren County Public Schools.

If you need help with our Grace Fund: Please apply below.
Personal Information
Name

First NameLast 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?
Name of Parent/Guardian

First NameLast 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

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
Should be Empty:

Local Child In Need Form

Personal Information

Child/Children in Need