Winter 2024 YouthNet Club Registration Form - MMS
Registration: Friday, December 15th - Friday, January 12th

Clubs will run from Monday, January 22nd - Friday, March 8th

All clubs run for 6 weeks and have a total of 6 sessions. Clubs meet once a week for 6 weeks. If a club meeting needs to be canceled for any reason, the session will be made up and the date will be given by the advisor. 

Payments will be accepted through the YouthNet website.  Payments can be made via PayPal (with a PayPal account) or by Credit Card (checkout as a guest). Please provide the payment confirmation number on the registration form. Questions? Contact youthnet@somayouthnet.org

There is a new sliding payment scale for clubs. It is as follows:

Participation in 1 club per week: $62 (which is $10 per day of the club that runs for 6 sessions)

Participation in 2 clubs per week: $83 ( which is $6.67 per club, 2 clubs meetings a week for 6 weeks)

Participation in 3 clubs per week: $103 (which is $5.56 per club, 3 clubs meetings a week for 6 weeks)

Participation in 4 clubs per week: $124 (which is $5 per club, 4 club meetings a week for 6 weeks)

*No one will be denied access to YouthNet clubs due to financial hardship. 
Donations are always accepted at somayouthnet.org.

A parent/guardian's digital signature and payment confirmation is required for registration for the club(s) you are interested in.

Mrs. Diane Malloy - YouthNet Director youthnet@somayouthnet.org 
Mr. Richard Rodriguez - MMS YouthNet Coordinator - rrodrig1@somsd.k12.nj.us 
Mrs. Kyndell Pierce Tuttle - SOMS YouthNet Coordinator - kpierce@somsd.k12.nj.us

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Email *
                                                                     somayouthnet.org
Student's First and Last Name *
Student's School Email Address *
Parent/Guardian First and Last Name *
Parent/Guardian Email Address *
Parent/Guardian Cell Phone Number *
Grade Level   *
What clubs you are interested During Monday? Check one (1) box.
What clubs you are interested During Wednesday? Check one (1) box.
What clubs you are interested During Thursday? Check one (1) box.
What clubs you are interested During Friday? Check one (1) box.
I understand attendance will be taken and the students work will be posted in some way according to the advisor. *
I understand and give permission to use photographs of my student conducting club activities for promotional purposes. *
I understand that there is a fee of $60-$120 and the preferred payment method is PayPal or Credit Card (as Guest via PayPal) *
PayPal Confirmation Number (or the YouthNet code that was given to you from the YouthNet office).  somayouthnet.org *
Parent/Guardian Digital Signature *
A copy of your responses will be emailed to the address you provided.
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