High School Summer Registration 2018
Thank you for your interest in participating in our High School Youth N.O.W. summer program.

Our summer program is from June 25th- July 26th. Hours are from 1:00-6:00 p.m. Except for a few days were students will be taking field trips, hours may vary on those days.

The application below includes questions that help us with gathering information in order to register you for our program.

If you have questions please feel free to contact us or stop by our office:

Youth N.O.W.
31 Carr Street |Watsonville, CA| 95076
831-768-7998
www.youthnowcenter.org

Student First Name *
Your answer
Student Last Name *
Your answer
Date of Birth: *
MM
/
DD
/
YYYY
Grade *
School *
Your answer
Parent/Guardian Name *
Your answer
Phone *
Your answer
Address *
Your answer
Weeks Attending *
Yes
No
Week 1: June 25th- June 28th
Week 2: July 2nd-July 5th
Week 3: July 9th-July 12th
Week 4: July 16-July 19
Week 5: July 23-July 26
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