Youth Registration

After School, Early Dismissal and In-service Programming: First, a safe, structured and supervised after-school and evening meal program is provided. This after-school program serves children ages 7-17 and is open 3:00 PM to 6:00 PM. All children MUST be registered in order to participate in this after-school program. If your child registered before January, 2016, that does NOT mean that they are still registered.

In order to provide a safe, structured environment, registrations will be limited to 30 children. Registration forms can be picked up at The Henry Davison Youth Center, located at 1445 Mount Vernon Road SE.


Parents/Guardians please complete the enrollment form form below:

Step 1 of 3

  • Youth Information

    One application per child
  • Or contact phone
  • What do we need to know about your child's behavior?

A copy will be sent by email to your inbox AND the director for your child’s signature. Your child’s signature will be required to indicate that your child has read and understands the rules and consequences.

If you prefer you can download a PDF copy and print on your own:

Youth Registration Form current 7-7-15

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