VALDEZ YOUTH COURT
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SCHOLARSHIP RECIPIENTS
*
Indicates required field
Name
*
First
Last
Student Grade and School
*
Student Email
*
Parent/Guardian Email
*
Student Phone Number
*
Parent/Guardian Phone Number
*
Student Birthday
*
Student Pronouns
*
Allergies/Dietary Restrictions/Hated Foods
*
Any student needs for accommodation (visual, hearing, note taking, mobility, any other)
*
Submit
Please be sure to have a parent/guardian sign a waiver. There are hard copies at my office if that is easier. Thanks!
assent_and_waiver_form__1_.pdf
File Size:
170 kb
File Type:
pdf
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Home
About
Board of Directors
FAQ
Join VYC
Contact
Registration
SCHOLARSHIP RECIPIENTS