Contact

Tyler Healy
Youth 360
907-373-3613
director@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 connect with friends and staff. Clubs are open each school day, and M-Th in the summer. Transportation to/from central community locations is available. More info at youth-360.org.

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Youth Information

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    Program Location Requested:

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  • Please enter parent/guardian contact info below.

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Additional Youth Information

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  • Do you authorize Youth 360 to give medications listed above during program times?

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Add other students from the same family 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 choose bus stop location(s) that would work for your family. We have more stops; call 892-9591 for details.

  • WASILLA: Please choose bus stop location(s) that would work for your family. We have more stops; call 376-0360 for details.

Additional Information (optional)

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  • Youth 360 is free to families, but you are welcome to donate to support our program. If you'd like to contribute, go to https://fundraise.givesmart.com/form/CSsZMA?vid=zqgpf. Don't forget to check the "Youth 360" box!

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 messages about Youth 360 activities and schedules? You can opt out at any time. 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, 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 uses photos, videos and youth media and artwork to publicize the program and provide updates to families, participants and community members. If you do not want your child(ren)ís photo or artwork used publicly, please contact Youth 360 Director at 373-3613 or director@youth-360.org.


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Register