Teen Center

* Important Notes: Copy of immunizations, to include the flu shot is required.

• Home Address → Put APO
• Emergency Contact → put a local emergency contact’s (not the parent) name, and their local number goes in the “emergency phone” box.
• Youth Home Email → Put spouse’s or sponsor’s personal email
• Sponsor’s Work Email → Must be their gov/mil email
• Hobbies/Interests → Cannot be blank – please put at least one item

Use blue/black ink if handwriting. If a mistake is made, draw one line through it, put initial, and put the correction next to it.”