H.Y.P.E. Registration Form Interested in joining our upcoming H.Y.P.E. class? If so, please complete the online application. We will contact you with next steps to secure your spot in the program. Name Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zipcode Phone Number Email Age Date of Birth Name of school Current Grade Name (Parent/Guardian) Relationship to student Address City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zipcode Phone Number How many people live in your household? Household Income $12,060-$24,600 $25,150-$34,600 $35,750-50,000 Are you free lunch/Reduced Lunch Eligible? Yes No Are You Eligible For SNAP? Yes No Do You Have Transportation To The HYPE Program Site? Yes No How Did You Hear About FFR? Another Client Billboard Flyer Internet Local Ad/News Radio Other Digital Signature Send