Fresh 4 Life Barber Program

Please fully complete this form and we will contact you to follow up. Only fully completed applications with current contact information will be accepted.

Thank you for your response. ✨

Full Name

Email (optional but suggested)

Phone Number (Please list alternate contact options, e.g. Facebook profile or messenger name, other social media/messenger account if you do not have any phone numbers to reach you)

Who is your KCYVP Case Manager?

What school do you attend?

What grade level will you be next school year?

Why are you interested in joining this program?

Please contact Waz with any questions or for more help with this.

Please fully complete this form and we will contact you to follow up. Only fully completed applications with current contact information will be accepted.

Thank you for your response. ✨

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