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Summer Youth Program Application Form

  1. 2022 Summer Youth Program Application
  2. Details

    ♦ Every Thursday from June 23rd through August 18th

    ♦ Cost: FREE!

    ♦ Noon to 4pm

    ♦ Space is limited - not all applications may be accepted if capacity is reached

    ♦ All sessions will begin at the Hopkins Police Dept located at 1010 1st Street South

    ♦ 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

    ♦ Face masks are optional.  Current and future CDC recommendations will be observed

    ♦ For more information contact Julia Ross at jross@hopkinsmn.com or 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.
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  11. This field is not part of the form submission.