Nathaniel's Hope ~ Sharing "the Hope" with Kids with Special Needs and their Families

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Become a VIP Birthday Club Member


Please fill out the following form to become a VIP Club Member! To have your child's picture posted in our online “Club House,” please click here to email the picture, then fill out the Birthday Club Registration Form below.


If you prefer, you can mail a picture to Nathaniel's Hope, 2300 Jetport Drive, Orlando, FL 32809-7800. Please include a note to tell us your child's name, birthdate, that this is for the VIP Birthday Club, and whether or not you would like the picture back. If we can keep the picture, we'll add it to the collection of pictures posted in our office!


 
* indicates required fields
 
Adult's First Name
Adult's Last Name
Child's First Name *
Child's Last Name *
Address
City
State
Zip/Postal Code
Home Phone
Cell Phone
Work Phone
Email
Child’s Birthday (mm/dd/yy)
Please explain your child’s uniqueness:
 
What special talents or abilities does your child have?
 
 
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©2006 Nathaniels Hope | 2300 Jetport Drive, Orlando, FL 32809 | phone: 407-857-8224
Nathaniels Hope is an outreach of Teams Commissioned for Christ International,
a non-profit, 501(c)(3) Christian mission organization.