top of page
Home
Hire A Hero
About Us
Mission, Vision and Values
Our Partners
Become a Partner
Programs
Youth Mentorship
Veterans
Get Involved
Membership
Register Your Child
Veteran Registration
Join Our Team!
Contact
More
Use tab to navigate through the menu items.
Donate Now
Child Registration Form
First Name
Last Name
Home Address
Parent/Guardian's First Name
Parent/Guardian's Phone
Parent/Guardian's Last Name
Parent/Guardian's Email
Prefferred Nickname
Child's Birthday
Best Time To Reach Parent/Guardian Via Phone
By checking this box I affirm the following to be a true statement: I have legal authority to make decisions on behalf of this chld.
Please upload a photo of your government issued I.D.
Upload File
Upload supported file (Max 15MB)
Your Signature
Clear
Submit
One of our representatives will contact you soon!
bottom of page
