Super Sibs Program Interest Form
What is a Super Sib? It's a sibling to a baby or child with HIE, across any outcome or impact.

Sometimes our Super Sibs are asked to take on a lot, go with a lot, go without a lot, and work through their own feelings of being a sibling to a child with disabilities, or have lost a sibling to HIE.

Super Sibs need extra support for their journey including connection to a community of peers, credentialed specialists, and developmentally appropriate experiences and programs.

We are excited to bring comprehensive, age-appropriate sibling support programming, under the direction of our Child Life Specialist, to our global community!

Please fill out a separate form for each interested sibling.

By filling out this form, you agree to be contacted via email regarding Hope for HIE news and program information. 
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Email *
Parent First Name *
Parent Last Name *
Super Sibling Age *
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Super Sibling's First Name *
Super Sibling's Last Name *
Mailing Address 1 *
Mailing Address 2
City *
State/Province/Region *
Postal/Zip Code *
Country *
What is the Super Sibling's connection to HIE? *
Please let us know anything else we should know, specific ideas for support you may be needing, etc:
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