YOUTH AFTER SCHOOL AND SUMMER K-8TH GRADE REGISTRATION
To register, please take the time to fill out the information below.
YOUTH INFORMATION
PRIMARY CAREGIVER INFORMATION
Secondary Caregiver (In case of emergency)
Thea Bowman Center online Youth Program Parent Permission Form
By submitting this form, I give permission for my child to participate in the Thea Bowman Center’s
supervised After-School and Summer Program activities: Tutoring, Music, Martial Arts, Field Trips,
Black History and other learning activities. (Child must be in K -8 th grade)