Oliver Storytime: Youth Sign Up Form
Oliver Storytime is a youth led initiative started by Haneefah Syed for her Girl Scout Gold Award community service project in collaboration with Olive Community Services (www.olivecs.org). "Olivers" refers to the senior citizens in our community. This project aims for Olivers to share their stories of adversity to help youth develop resilience. Research has shown that building resilience can help manage social anxiety which is at an all time high among the youth during this global pandemic. The Oliver Storytime program also benefits the Olivers as they are experiencing social isolation during these times by giving them an opportunity for social interaction.

Oliver Storytime Program: Key Details
What: Monthly Zoom Sessions led by youth volunteer team. The program will include an interview with an Oliver, followed by fun team building activities, games and breakout sessions among the youth.
When: Fridays, 4:30-5:30 (PST) from February 5th to December 3rd, 2021 (No session in May)
Who: Youth (Ages 11+)

1) Complete the following form to confirm your registration.
2) Parents will need to complete the media release, and release of liability portion of this form with their signatures.
3)Zoom details will be sent once registration is completed.
4) Reminder texts and emails will be sent out to the youth and parents 1-2 prior to each event.
5) Follow Oliver Storytime on Instagram for updates and details about the featured Olivers.
Participant's Name (First and Last) *
Participant's email *
Participant's Phone Number *
Participant's Age *
What questions do you want to ask to an Oliver (senior citizen) *
Do you know a senior who would love to share their story? If yes, please share details.
What do you hope to achieve from this program? *
Any questions or concerns?
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