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HH Membership For Mail Program
* Required Field
Parent's
name:
*Name of
HH Member
*
Age
Address:
(if different)
Email
Address:
*
Email
Address:
*
*Phone
number:
required for
confirmation
Mailing
Address:
*
Relationship
to HH member
*
Hobbies
How did you find out about  Homebound Hugs?
the reason they are homebound
Homebound
Status
Every HH Member will receive a welcome letter
within 2 weeks of their acceptance.  The HH
Director will call to confirm membership and
answer any questions.  The parent/guardian will
also receive an introductory letter, explaining the
program in more detail.
*PACKAGES will start in 2009*
Grade
Siblings
Pets
Questions, comments, or feedback:
THANK YOU FOR YOUR
PARTICIPATION & WE HOPE YOU
ENJOY YOUR TIME WITH US!