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Refer a youth to Project re:Fresh
Details for our school year program can be found at
seen52.org/refresh
.
Details for our Pleasanton Pop-Up can be found at
seen52.org/popups.
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Email
*
Your email
Program Referral
Oakland, Tues & Fri 3:45-6pm
Pleasanton, Saturdays 9:30-11:30AM
1:1 Support (youth ages 15+)
Other:
Youth Name
*
Your answer
Preferred Pronouns
she/her/hers
he/him
they/them
Other:
2023-2024 Grade
*
Choose
6th
7th
8th
9th
10th
11th
12th
other
Your relationship to youth
*
child welfare worker
school teacher
school principal
other school staff
CASA
relative
family friend
Other:
Required
Parent/Caregiver/Guardian's First and Last Name
*
Write (N/A) if it does not apply)
Your answer
Best Phone number and/or Email address for contact
Your answer
Thank you for your referral! We will take it from here!
Did you know:
95% of our youth reported feeling safe with the adults in the space and that their main recommendation for improvement is to recruit more kids!
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