New User Registration

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First Name *

Last Name *

Registration ID *

Your unique Registration ID can be found in your invitation letter.

Event ID *

Your Event ID can be found in your invitation letter.

Contact Details

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Street Address *

Address 2

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Children

1	Child's First Name * Child's Last Name * Date of Birth * Grade * School * Services Check all that you are requesting for this child. Dental Exam Dental Hygiene Instruction Haircut Hearing Screening Medical Exam Professional Photo Sports Physical (you must bring form) School Uniform Assistance Vision Exam
1	Child's First Name * Child's Last Name * Date of Birth * Grade * School * Services Check all that you are requesting for this child. Dental Exam Dental Hygiene Instruction Haircut Hearing Screening Medical Exam Professional Photo Sports Physical (you must bring form) School Uniform Assistance Vision Exam

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941.544.4850
Pam@Hope4C.us
518 13^TH Street West
Bradenton, FL 34205

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Hope 4 Communities is sponsored as a 501(c)(3) affiliate of galatians 6:2, inc. (www.g62.info). All donations to Hope 4 Communities are tax deductible.

Important!

You will not be able to edit your registration after it is submitted.

Add ALL the children you will be bringing to the event before you submit your registration.

If you need to make changes, there is a change request form on the event page after you login.

The Giving challenge is Today

April 15th (noon) - April 16th (noon)

Please follow the link below to donate and have up to $100 of each unique donation matched.

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