New Family/Breakthrough Ambassador Match
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Email *
My name (parent or guardian) is: *
My child's or children's name(s): *
My child(ren) attend or are matched at the following campus: *
Required
My preferred contact information is: *
I am a *
As a new parent, I would like to be matched with a family who has attended Breakthrough for more than one year. *
I would like to be matched with a family who attends the same campus where my child(ren) matched. *
My child(ren)'s upcoming grade level is (please choose the level for next school year, and check all that apply) *
Required
As a new family, I would like a family who has a child close to my age *
My neighborhood of residence is: *
I would like a family lives in or near the same neighborhood. *
My child's gender/gender expression is
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I would like to be matched with a family whose child's gender/gender expression matches that of mine
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My most comfortable language of expression is
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I would like to be matched with a family who is bilingual in my above-stated language.
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I have a child who has a learning or communication difference, and I would like to be matched with a family with similar experience.
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If you chose "yes" above, please let us know more information about your needs so that we can make the best match.
If you have a specific family structure or circumstance and would like to be matched with a family with similar circumstances, please let us know what those are, with as much specificity as you are comfortable.  (Returning parents, please let us know if you have identify as having a specific family structure or circumstance that you would be willing to share with a new family.)
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