The Cole Project -Hope Programs
Group registration form
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Email *
Are you completing this registration as a parent/guardian or a potential group member? *
Name of registering group member: *
Phone number of group member: *
Street Address, City and Zip Code of group member:
Date of birth and age of group member: *
I identify my gender as: *
If under 18, please provide the name of a parent or guardian,
If under 18 parent or guardian phone number if different from above:
Which group(s) are you registering for? *
Required
My age group is: *
Required
In what location are you interested in attending a group? *
Where did you hear about The Cole Project? *
Any other questions or comments?
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