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Families Together
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Get Involved
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Families Together Team
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Become a Foster Parent
Who We Are
Our Core Values
Our Beliefs
Our Leadership Team
Our Board
Our History
Stories of Hope
Foster Care
Are You Called to be a Foster Parent?
Why Christian Heritage?
A Foster Parent's Journey
Professional Foster Homes
Foster Care Team
Foster Parent Portal
Current Foster Parents
Training Calendar and Forms
Training Resources
Navigating the System
Referral Form
Professional FP Maintenance Request
Notes Of Hope
Beyond Prison
Destination...Dad®
Family Advocacy
Beyond Prison Team
Permission Slips
Families Together
What Is It?
Get Involved
Get Help
Families Together Team
Ways to Help
Pray
Give
Become a Foster Parent
Careers
Locations
Beyond Prison
Destination...Dad®
Family Advocacy
Beyond Prison Team
Permission Slips
Father Son Hang Out Permission Slip
Your Name (Required)
Phone number (including area code) (Required)
Street or post office address (Required)
City, State, Zip Code (Required)
E-mail address
Emergency Contact Name (Required)
Emergency Contact Phone Number (Required)
Inmate's name (Required)
Institution (Required)
Institution (Required)
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Nebraska State Penitentiary
Lincoln Correctional Center
Omaha Correctional Center
Tecumseh State Correctional Institution
Name(s) of child(ren) (first, last) (Required)
Age(s) of child(ren) (Required)
Date of visit
Month
January
February
March
April
May
June
July
August
September
October
November
December
/
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
Name of person transporting child(ren) to and from visit (Required)
CERTIFICATION AND RELEASE STATEMENT
Are you the legal guardian of child(ren)?
Yes
No
w4f042tc0smy
I authorize investigation of all statements contained in this document as may be necessary in my child(ren) participating in the Father Son Hang Out.
Yes
No
I certify that the information given herein is true and complete and that the submission of this form is the same as my signing this form.
Yes
No
Today's date (Required)
info@chne.org
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