Registration | Today's Youth

Today's Youth
Program Registration

Girls On the Move & Boys On A Mission are four-month leadership development programs for students in 6th-8th grade. During the program, students will learn about healthy relationships, overcoming obstacles, decision-making, goal setting, and personal leadership. Students will complete a service project and participate in one Saturday Enrichment event. In addition, participants will receive a pre & post-assessment on the subjects covered to assess their understanding of the material.

Program Registration

Parent First Name

Parent Last Name

Address

Parent Cell Number

Parent Home Number

Parent Email

Emergency Contact Name

Emergency Contact Number

Person's Authorized to Pick Up Child: ID Must Be Shown At Time of Pick-Up

Participant First Name

Age

Participant Last Name

Nickname

What school does your child attend?

Does your child have any allergies or conditions we should be aware of ?

Why Do You Want Your Child To Join This Program?

The program material fee is $65 and is required for program participation. The program material fee must be paid within the first two weeks of the program. Program materials include a writing journal, t-shirt, leadership book, snacks, Saturday enrichment activity, & service project items.

Payment plans and financial assistance are
available to assist eligible students with course materials. Please get in touch with our office for more information.

Your Signature

Thanks for submitting!

Today's Youth Program Registration

Program Registration

Today's Youth
Program Registration