Virtual Youth Meeting Registration
During this time it is important to provide support for our community. Young people especially need our support now more than ever! While we cannot meet in person, Sow A Seed Community Foundation remains opened virtually, online, and via phone to provide Mentoring and Healthy and supportive activities for our youth. Use this registration form to register your youth for one of our upcoming Zoom Youth Group meetings or activity.
The youth must be registered to receive the Zoom meeting information.
Call our office or visit our website, if you need additional information. (209)229-4559
Participants First Name
Participants Last Name
Has the Participant ever attended a Sow A Seed program? (check all that apply)
Boys to Men Conference
Fresh Start Thinking
One-on-One Counseling / Family Thearpy
Y.L.I.A ( Young Leaders in Action)
Participant's Age (ages 9 -18 only)
Participant's Birth date (type in correct year)
Participant's School Name and Location
My child would like to attend the Zoom Meeting/ Activity checked below. (check all that apply)
Anger Management Group Meeting - date & time TBD
Boys Council ( boys group meeting ages 9 - 13) - Wed. 11am - 12:00pm
Fresh Start Thinking ( Co-Ed group meeting ages 14-18) - Mon. 11am - 12:00pm
Girls Circle ( girls group meeting ages 9-13) - Mon. 12:30pm -1:30pm
Mentoring - by appointment
One-on-One Counseling / Family Thearpy - by appointment
Y.L.I.A ( Young Leaders in Action, high school youth leadership group ) - Wed 6pm - 7pm
Child Protective Services (CPS)
Home Street Address
Other ( if "Other" please list below)
If "Other" City, please list here
Contact Phone Number (ie. xxx-xxx-xxxx)
Other Phone Number (ie. xxx-xxx-xxxx)
I give permission for the youth listed above to participate in the Sow A Seed virtual meeting designated above.
Yes, I give permission. I am the parent of the participant listed above
Yes, I give permission. I am the guardian of the participant listed above
I am 18 years of age, and will participate in the Group Meeting designate above
Parent/ Guardian Name ( First, Last)
Parent / Guardian email address (cannot be a school-based email address)
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