Youth 360 Community-Based Activity Stipend Program – Interest Form for Spring/Summer 2022
Please fill out this interest form to indicate which activity your student would like to enroll in.
Questions? Please call 373-3613.
Parent/guardian responsibilities:
I understand that I am responsible for completing any additional paperwork or requirements from activity providers, and for working to make sure my child attends activities as scheduled. I understand that repeated no-shows may make my child ineligible for future Youth 360 stipend programs. I understand that my child’s participation in these activities is taken at my own risk and that Youth 360 is not responsible for the well-being of my child while participating in vendor-provided activities. I agree to complete a short post-activity survey to help Youth 360 determine activity quality.
By electronically entering my name below, I acknowledge that I have read the above information and am agreeing to the responsibilities listed therein. I certify that no one has signed this form for me, and understand that this electronic signature is considered official by Youth 360, United Way of Mat-Su and their partner vendors.