2022 Application Christmas Care of Clay County Spanish

28Sep
2022 Application for Christmas Care of Clay County Spanish version
Nombre del padre, madre o tutor en mayúsculas
Nombre del padre, madre o tutor en mayúsculas
Primera/Primero
Última/Último
Calle/dirección (y apartado postal, si corresponde)
Calle/dirección (y apartado postal, si corresponde)
Pueblo
Estado
código postal
¿Cuál es la mejor manera de contactarnos con usted? Encierre en un círculo.
Hinton Center solicita subvenciones y pide la siguiente información
Entiendo y acepto lo anterior y que Christmas Care del Condado de Clay o sus personas y agencias asociadas no serán responsables de los regalos recibidos. Los artículos recibidos son suplementarios y no proporcionarán todos los deseos y/o necesidades del grupo familiar. Christmas Care sirve solo al Condado de Clay y a los niños que tienen 18 años o menos, y que aún viven en casa mientras están en la escuela. Entiendo que tendré que traer un tipo de identificación conmigo cuando vaya a comprar o recoger algo (si tiene dudas o preguntas, por favor háganoslo saber).
Por favor, complete el cuadro en la página siguiente

2022 Application Christmas Care of Clay County

27Sep

Christmas Care of Clay County

COMPLETE APPLICATION NO LATER THAN FRIDAY, NOVEMBER 4th    

 

• Christmas Care of Clay County is supported by various agencies, businesses, churches and individuals.
• Please complete all the information below.
• If you do not have a phone, list the number of someone who can contact you. We must have a working phone number on the application and a way to contact you. If your number changes, let us know ASAP. Unfortunately, if we are unable to reach you, we will not be able to provide you with clothing gifts.
• NO LATE APPLICATIONS will be accepted.
• Contact Rev. Dawn Martin at (828) 389-8336 with questions.

2022 Application for Christmas Care of Clay County
Name of Parent or Guardian
Name of Parent or Guardian
First
Last
Street Address (and PO Box if applicable)
Street Address (and PO Box if applicable)
City
State/Province
Zip/Postal
Do you send/receive text messages?
What is the best way to reach you? Please select one.

Hinton Center applies for grants and asks for the following information:

I understand and agree to the above and that Christmas Care of Clay County or its partnering individuals and agencies will not be held responsible for gifts received. Items received are supplemental and will not provide all wants and/or needs of the household. Christmas Care serves only Clay County and children who are 18 and under, and still living at home while in school. I understand that I will need to bring a form of ID with me when I come to shop or pick up (if you have concerns or questions, please let us know).

2023 Application for Leadership Chatuge Class 6

27Sep

This form is currently closed for submissions.

August-May Mission Outreach Application

13Sep
August-May Missions Outreach Application
Preferred mailing address
Preferred mailing address
City
State/Province
Zip/Postal
Preferred phone
Do you text?
(format: xx/xx/xx to xx/xx/xx)
Has your group participated in Hinton Center mission outreach before?
The first deposit of $50 per person is due along with this group application form.

The final deposit is due 30 days prior to arrival, along with confirmation of the number of participants. If the registered group needs to reduce the number of participants, this change must be made at least 30 days prior to arrival.  Any increase of participants must be made in consultation with Hinton Center.

If you need to cancel for any reason before 30 days prior to your arrival, you will be asked to rollover your paid amount to a future missions experience. If you need to cancel 30 days or less prior to your  arrival, your deposit (or equivalent of $50/person for the total amount registered) will be nonrefundable. The remaining funds paid can be applied to a future missions experience.

All group and individual forms are do no later than 30 days prior to arrival.

I understand and agree to the schedule outlined above.

To make your payment on-line, use the PayPal link below; payment will be confirmed after payment is received.  You do not need to have a PayPal account.  Select the option to 'pay with debit or credit card' to complete your payment.

If you select to mail in your payment, you will bypass PayPal and your application will be submitted.

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Youth Mental Health First Aid Training

02Sep

Youth Mental Health First Aid Training

Registration

Youth Mental Health First Aid teaches you how to identify, understand and respond to signs of   mental health and substance use challenges among adolescents ages 12-18. You’ll build skills and confidence you need to reach out and provide initial support to young people who are struggling. You’ll also learn how to help connect them to appropriate support.

Learners will complete a 2-hour, self-paced online course, and participate in an Instructor-led Zoom training.

Youth Mental Health First Aid Training
Name
Name
First
Last
Mailing address
Mailing address
City
State/Province
Zip/Postal

By clicking on "Pay with PayPal" you will be redirected to the PayPal site.  You do not need to have a PayPal account, just click on the option to pay with either a Debit or Credit Card.  Registration is $30.

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