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Youth Program Packet 2023-2024


  1. 1. Contact Information
  2. 2. General Consent & Permissions
  3. 3. Medication Form
  4. 4. BISD Transportation Form
  • Contact Information

    1. Male or Female*
    2. Medication needed to be administered *
    3. Does this child qualify for Free or Reduced Lunch with a school district?*
    4. If yes, please provide proof from a school district within first week of attending program.
    5. Primary Contact
    6. Preferred Method of Contact*
    7. Secondary Contact
    8. Preferred Method of Contact
    9. Emergency Contacts and Numbers (if primary and secondary contacts are unavailable)
    10. I authorize that my child may be released to the following persons in addition to those listed above: