Youth On Foundation Child Enrollment Form

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Please complete this form to enroll your child. We will follow up with placement and next steps within 24-48 business hours.

Email *

Child First and Last Name *

Gender

Female

Male

Clear selection

Birthdate

YYYY

Grade

Parent/Guardian First and Last Name *

Relationship *

Parent Guardian Phone Number *

Parent Guardian Email
*

Address *

Emergency Contact Name and Phone number
*

Can your child commit to attending every Saturday from 8am-4pm? *

Yes

Does your child have any special needs or physical disabilities? Describe *

Any food Allergies? If yes explain. If none type N/A. *

Any medications? If so, list them. If not type N/A

Emergency Contact Name, Number and Relationship *

Photo/Media Release Consent *

Yes

(Please go over this section with your child)

Youth Code of Conduct & Policy Acknowledgment-

As a Participant of the Youth On Foundation I agree to:

Respect peers, mentors, and staff at all times

Use positive and appropriate language

Participate actively in all scheduled activities

Arrive on time and be prepared to learn

Avoid disruptive behavior and unsafe actions

Required

Important Policy: Youth On Foundation is not responsible or liable for any relationships, meetings, or activities that occur outside of official program time and space, even if permissions are given by parents or guardians. Any personal arrangements made between parents/guardians and volunteers or staff outside of program operations are solely the responsibility of the individuals involved.
*

“I have reviewed these rules and policies with my child, and we agree to uphold the Code of Conduct and understand the limits of organizational responsibility.”

Required

A copy of your responses will be emailed to the address you provided.

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