Youth development, youth success, service learning-Sacramento-YOUTH DEVELOPMENT NETWORK

Student First Name	*
Student Last Name	*
Parent/Guardian First Name	*
Parent/Guardian Last Name	*
School Site Name	*
Grade Level Going Into	*
Parent/Guardian Email Address	*
Best Contact Phone Number	*
Please select one of these dates	*
Has your son or daughter completed the online StrengthsFinder Assessment?			Help If you select "No" then you will have an opportunity to have your student participate in a special StrengthsFinder Assessment Clinic prior to the orientation date you have selected.
StrengthsFinder Assessment Clinic - Choose One			Help If your student has not already completed the assessment, there will be an optional Strengths clinic at the District Office scheduled between 2:00-4:00pm on both orientation dates. Please selct one of these timeslots (1 hour duration).
Consent to photograph and videotape-release agreement	*	I hereby authorize Youth Development Network (YDN), or its designee, to photograph or videotape me and my child/student in connection with activities sponsored by the YDN program. Due to special circumstances I do not authorize consent. Please contact me to make necessary arrangements.
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