Mary's Magical Mission Interest Form
Completing this form adds your family to our interest list and does not guarantee you a spot in the program.
How did you hear about this program? - Cómo se enteró de este programa?
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I am a Mary Rigg Workforce Services client.
I am a Mary Rigg Food Pantry client.
My child(ren) attend Mary Rigg's youth programs.
My children attend a West Indianapolis school.
I live in Mary Rigg's service area: zip codes 46221 and 46222.
Other
Parent/Guardian Name - Padre/Madre/Tutor
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First Name
Last Name
Phone Number - Número de teléfono
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You will receive reminders and urgent information via text message.
Format: (000) 000-0000.
Email - Correo electrónico
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example@example.com
Address - Dirección
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
How many children ages 0 to 12 are you registering? Birth certificates or proof of guardianship is required for all children being registered.Cuántos niños de 0 a 12 años tiene? Se requerirá presentar actas de nacimiento o prueba de tutela para todos los niños que se registren.
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How many children do you have ages 13-17? (Please note: Currently, this program is only available to families with children ages 0–12.)- Cuántos hijos tienes entre 13 y 17 años?(Tenga en cuenta: este programa solo está disponible para familias con niños de 0 a 12 años).
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Submit
Should be Empty: