Add Request Form
Add Request Form

* Phone:
* Email:

This form is for families who have completed the enrollment process.
If you are not currently enrolled in our program, contact our office at (805) 682-2300 so we can help you get started with the enrollment process at Hope 4 Kids. Currently enrolled families may complete this form at least one week in advance whenever possible. Your account will be charged as listed depending on the service you are requesting and from what program.
* Parent/guardian name
* Child's name
* Child's teacher
* Day(s) your child will be adding

* Indicates required entry field