Contact

Tyler Healy
Youth 360
907-373-3613

Youth 360 Summer 2019 Registration

Sign up for Youth 360's free summer program in Houston and Wasilla! Youth 360 offers fun and engaging activities designed to connect middle and high school students to each other, their family, their school and their community. 12-5 pm, M-F at Houston Jr./Sr. High and Wasilla High. Transportation to/from central community locations is available.

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Youth Information

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  • My child attends:

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  • Please enter parent e-mail and phone number below.

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Health and Safety Information

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  • Do you authorize Youth 360 to administer medications listed above during program hours?

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Youth 360 will provide free transportation to/from central community locations.

  • HOUSTON: Please indicate bus stop location(s) that would work for your child.

  • WASILLA: Please indicate bus stop location(s) that would work for your child.

Additional Information (optional)

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Parent/Guardian Info and Additional Contacts

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  • Please list any additional adults approved to pick up your child from Youth 360.

  • IMPORTANT PERMISSIONS: By submitting this registration form, I agree to Youth 360 policies and procedures, and provide consent for my child to participate in Youth 360 activities and programs. I provide permission for Youth 360 staff to make decisions regarding the emergency medical care or treatment of my child if I cannot be reached. Youth 360 will conduct periodic private and anonymous surveys of participants and families in order to gather feedback and improve the program. Youth and families can choose not to complete surveys when distributed or offered. Youth 360 will utilize program photos, videos, youth-submitted media and artwork, social media outreach and other means to publicize the program and provide updates to families, participants and community members. If you do not want your child’s likeness or creative output used publicly, please contact Youth 360 Director at 373-3613 or director@youth-360.org.


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