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Summer Youth Program Application Form

  1. 2023 Summer Youth Program Application
  2. Details
    • Every Thursday from June 22 through August 10
    • Noon to 4 p.m.
    • Cost: FREE!
    • Space is limited - not all applications may be accepted if capacity is reached
    • All sessions will begin at the Hopkins Police Department located at 1010 1st Street S
    • Transportation to and from the police department will need to be arranged by the parent/guardian
    • Upon successful completion, participants will receive a certificate and an invitation to a day long trip to Valley Fair
    • For more information contact Julia Ross at 952-548-6428
  3. (must be between 12-15)

  4. If none, type "None."
  5. If none, type "None."
  6. Other than parent/guardian listed above.

  7. Other than parent/guardian listed above.

  8. Other than phone number listed above.

  9. Electronic Signature Agreement
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  10. Leave This Blank:

  11. This field is not part of the form submission.