Safford Little Application

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Non-Discrimination Policy
Our participants come to us with a wide range of personal characteristics. We believe that participant eligibility shall be determined without regard to race, color, religion, national origin, gender, marital status, sexual orientation, gender identity, veteran status, or disability. 
Preliminary Questions
Hidden Fields
To look up the owner's email for notifications
For notifications
Youth Information
Enter a date in the following format: mm/dd/yyyy

Hold CTRL+F to select multiple
Guardian Information
Enter a date in the following format: mm/dd/yyyy
Type NA if unemployed
Family Information

Emergency Contact
If we are unable to reach you, who is someone we could call who always knows how to reach you?

Additional Questions

Consent Forms

Consent for Evaluation Surveys
Permission/Pictures of Your Child

Child Interests Sheet

Check the following boxes below that reflect your interests. While we will use a combination of different information to match, this will provide a quick foundation. 

You have reached the end of the application. We will need an "e-signature" to complete the application. 

Parent/Guardian E-Signature