Action Team Spring 2017 Registration Form

This form serves as a student registration for participation in Youth Community Service's middle school leadership after school program, Action Team for the Spring 2017 semester.

Action Team will meet on Wednesdays from 3:00pm to 4:30pm at the Mitchell Park Community
Center in Palo Alto. This semester long program will start on January 18th and end on May 10th.

Please send a $160 registration fee along with filling out this registration form. Checks can be made out
to “Youth Community Service" and mailed to 705 Alester Ave. Rm 4, Palo Alto, CA 94303. *Scholarships are available.*

Thank you for your support of Youth Community Service and student service-learning. For more information, visit us at www.youthcommunityservice.org or check out our Facebook page!

Questions regarding this form may be submitted to Lori, at lori@youthcommunityservice.org.

*Note: This program used to be called SWAG (Students With A Gateway)

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