Contact

Tyler Healy
Youth 360
907-373-3613
wasilla@youth-360.org

Youth 360 Youth Club/Summer Program Registration

Sign up for Youth 360's free youth clubs and summer programs in Houston and Wasilla! Youth clubs are fun and relaxed places for middle & high school students to spend time with friends and connect with staff. Clubs are open each school day and located at WHS and HJSH. 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/guardian contact info 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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If you have multiple students from the same family to enroll, please enter their info below.

You may add a maximum of 10

Youth 360 has bus routes to/from central locations. Skip this section if rides are not needed.

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

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

Additional Information (optional)

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Parent/Guardian Info and Additional Contacts

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    How would you like us to contact you? Choose as many options as you like.

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    Would you like to receive text updates about Youth 360 activities and programs? You can opt out at any time after joining. We share a text line (907-745-5826) with our partners at Thrive Mat-Su.

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

  • Youth 360 allows youth to depart the program site unaccompanied, with permission from parent/guardian. Do you authorize your child(ren) to leave the Youth 360 program site without an adult?

  • IMPORTANT PERMISSIONS: By submitting this registration form, I agree to Youth 360 policies and procedures, and provide consent for my child(ren) 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(ren) 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(ren)’s likeness or creative output used publicly, please contact Youth 360 Director at 373-3613 or director@youth-360.org.


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