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Project N.O.A.H

REGISTRATION

If you are interested in joining Project N.O.A.H., please complete the registration form below:

First Name

Email

Last Name

Phone

Street Address

City

State

Zip Code

Date of Birth

Gender

Race

Child(ren)'s Name and Date of Birth

Emergency Contact number

Are you interested in both the After School Study Hall & Summer Bridge Components?

Who referred you to the program (school staff, program alumni, parent, etc.)

School Staff

Program Alumni

Parent

Other

Please provide your social media handles

Are you interested in becoming a home owner?

Providing Hope, Second Chances, and Eliminating Poverty Two Generations At A Time.

Mailing Address: 11111 Whittier Ave, Detroit, MI 48224

Email: redeemdetroit@redeemdetroit.org

Phone: (844) 7-REDEEM

Thanks for submitting!

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