Please complete this registration form as accurately and thoroughly as possible. Before submitting, you will be asked to review important House policies, eligibility requirements, and guest expectations designed to help ensure a safe, respectful, and supportive environment for all families.

Please note that submitting this form does not guarantee immediate placement. Due to increased demand and occupancy levels, room availability may be limited and a waitlist may be necessary. Our Family Services team will review your application and contact you regarding eligibility, availability, and next steps.

If you need assistance completing this form, please contact our Family Services team. We look forward to serving your family.