Hillside Buddy Program – New Family Form

Parent/Guardian Information

Please enter the preferred parent/guardian for us to contact as "First" Parent/Guardian.

First Parent/Guardian Name*

First Last

Email Address*

Phone*

Second Parent/Guardian Name*

First Last

Email Address*

Phone*

How many students do you have in T/E schools currently?*

If you have more than 6 students currently enrolled in T/E schools, please provide additional student information in the Other field below.

Names & Grades of District Children

Include below ALL children in all grades from elementary through high school. If possible, we will connect you with a Buddy Family who has children in the same schools.

Child 1 Information

Child's Name*

First Last

Gender*

Male

Female

Current Grade (or entering)*

Current School*

Child 2 Information

Child's Name*

First Last

Gender*

Male

Female

Current Grade (or entering)*

Current School*

Child 3 Information

Child's Name*

First Last

Gender*

Male

Female

Current Grade (or entering)*

Current School*

Child 4 Information

Child's Name*

First Last

Gender*

Male

Female

Current Grade (or entering)*

Current School*

Child 5 Information

Child's Name*

First Last

Gender*

Male

Female

Current Grade (or entering)*

Current School*

Child 6 Information

Child's Name*

First Last

Gender*

Male

Female

Current Grade (or entering)*

Current School*

Additional Family Information

Other Languages Spoken

Complete this field if you would like to be matched with someone who also speaks this/these language(s). We will accommodate this request if we can!

Other/Additional Comments