Harambee Village Registration

Family Information

Read the following before filling out the form

After submitting this form, you will be taken to a page where you may register for Harambee Events. If you only fill out this form, you have not registered for an event.

Please do not skip any fields either here or during Event Registration. We know it gets repetitive! But it's necessary for accurate record-keeping on our part.

Fill in the following information on all members of your household. If you have more children than are listed here, you may fill out the form a second time. Simply submit the form, then hit your browser's back button.

After submitting, you will be taken to the Event Registration page. If you have any questions, feel free to contact Aubrey Haddican, program assistant, at 651-917-7462.

 

Family Information

Please provide the name of every member of the household:
Parent Name:
Parent Name:
Address:
City:
State:
Zip/Postal Code:
Daytime Phone:
Cell phone:
E-mail:
Child Name:
Date of Birth:

Was this child under the guardianship of the State of Minnesota?

Children who were in Minnesota foster care were under guardianship of the State of Minnesota.
Is this child adopted?

Does this child have a pre-adoptive placement agreement?

Pre-adoptive placement agreements are usually signed by parents taking adoptive placement of a child from foster care. They can be signed at the time of placement, or after a TPR.

Child Name:
Date of Birth:
Was this child under the guardianship of the State of Minnesota?
Is this child adopted?
Does this child have a pre-adoptive placement agreement?
Child Name:
Date of Birth:
Was this child under the guardianship of the State of Minnesota?
Is this child adopted?
Does this child have a pre-adoptive placement agreement?
Child Name:
Date of Birth:
Was this child under the guardianship of the State of Minnesota?
Is this child adopted?
Does this child have a pre-adoptive placement agreement?
Comments: