Enroll a Child

Thank you for your interest in helping your child become a Little Pal with our organization. We are excited that you are taking the first step!

Please fill out the following form and our staff follow up with you soon. If you are interested in enrolling multiple children in the program, please fill out a separate form for each child.

Don’t hesitate to contact us if you have any questions or need assistance.

Answers to demographic and income-related questions are needed for the agency to receive funding and provide reports for funding. Your personal information will not be shared and we do not discriminate basis of race, color, national origin, gender, age, marital status, disability, sexual orientation or socioeconomic status.