Intake-Form – Hope House

Book an Appointment

To book an appointment for our Food Market or other services, please fill out the form below.
A member of HOPE Staff will be in touch after receiving the submitted form.

Appointment Requests

Name *

First

Last

Phone *

We need this to contact you when following up about appointments please

Email *

Are you registered with HOPE House for other programs/services? *

Yes
No
I'm not sure

Do you reside in Guelph? *

If yes, please fill out the address section below

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

I would like to make an appointment for *

HOPE Stylin' Hair Salon
Income tax services

check all that apply

Name