Boys & Girls Clubs of Greater Baton Rouge : What We Do : Join Youth Volunteer Corps

Please fill out the application below and we will contact you once it has been reviewed. Thank you for your interest in Youth Volunteer Corps!

Youth Information

Youth Name (Required)

First Name

Last Name

Gender (Required)

Date of Birth

Grade (Required)

Ethnicity

Address (Required)

Country

Address Line 1

Address Line 2

City

State

Postal Code

Phone (Required)

Youth Phone Number

Email (for youth) (Required)

Youth Email Address

School

Does your child meet any of the following?

Out-of-school youth, including out of school youth who are unemployed
In or aging out of foster care
Limited English proficiency
Homeless or who have run away from home
At-risk to leave secondary school without a diploma
Former juvenile offenders or at risk of delinquency
Individuals with disabilities
Not applicable

Parent/Legal Guardian Information

Parent/Legal Guardian Name (Required)

First Name

Last Name

Parent/Legal Guardian Relationship (Required)

Parent/Legal Guardian Address (Required)

Country

Address Line 1

Address Line 2

City

State

Postal Code

Parent/Legal Guardian Phone (Required)

Parent/Legal Guardian Phone

Parent/Legal Guardian Email (Required)

Emergency Contact Information

First Emergency Contact Name (Required)

First Name

Last Name

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First Emergency Contact Relationship (Required)

(Required)

First Emergency Contact Phone

Second Emergency Contact Name (Required)

First Name

Last Name

Second Emergency Contact Relationship (Required)

(Required)

Second Emergency Contact Phone

Youth Medical Information

Does your child have any allergies? (Required)

If so, please explain

Is your child under medical care? (Required)

If so, please explain

Please list any other mental, physical, social, or other conditions your child has and any medications he/she is currently taking

Policies and Procedures

Please review the YVC Policies and Procedures here.

Parent/Legal Guardian Signature (Required)

Please type your name to submit an electronic signature, indicating that you adhere to YVC Policies and Procedures.

Youth Volunteer Signature (Required)

Please type your name to submit an electronic signature, indicating that you adhere to YVC Policies and Procedures.

Submit Application

Parent/Legal Guardian Signature (Required)

Please type your name to submit an electronic signature, indicating that the application information listed above is correct.

Youth Volunteer Signature (Required)

Please type your name to submit an electronic signature, indicating that the application information listed above is correct.