Warrior Family Onboarding

If you have any questions, feel free to reach out from your Messages App within the portal 🙂 

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Parent/Caregiver name
Race/ethnicity that best describes the child
Make sure to use the same email you logged in with. If you are unsure, please check your Profile.
Parent/Caregiver Address
Need Second Parent or caregiver info?

Warrior Info

Part 1/2. The second part to this section is completed after this form is submitted*
Warrior/Patient's Name
Comfort & Care Counseling | https://amandahope.org/comfort-care-counseling/
If you have one.
Selected Value: 0
Number of Siblings
By confirming yes, I give permission to be contacted about Amanda Hope Rainbow Angels by SMS text at my residential or cellular number, dialed manually or by autodialer (consent to be contacted is not a condition to participate). I consent to be contacted even if my phone number appears on an Amanda Hope Rainbow Angels Do Not Call List, a State or National Do Not Call Registry, or any other Do Not Contact List.
By confirming yes, I give permission to be contacted about Amanda Hope Rainbow Angels by email at my provided email address (consent to be contacted is not a condition to participate). I consent to be contacted even if my email address appears on an Amanda Hope Rainbow Angels Do Not Email List or any other Do Not Contact List.
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