Refer a child


Please Note: 
Referrals for Anoka County are currently closed. We are hard at work trying to serve the kids on our wait list. 

If you have any questions or would like more information on this please contact us.

Referrals are OPEN for Hennepin County
Referrals are OPEN for Ramsey County

Child's Name *
Child's Name
Date of Birth of Child *
Date of Birth of Child
Parent/Guardian Name *
Parent/Guardian Name
Parent/Guardian Phone *
Parent/Guardian Phone
Parent/Guardian Home Address *
Parent/Guardian Home Address