REGISTRATION – HEALTHYYOUTHUSA

For Your Convenience..

In order to make registration more convenient, we have provided all you need on this page to make your child’s registration process a success!

Bring all completed forms to us
5676 Roberts Drive
Dunwoody, GA 30338

A Healthy Youth coach or director will be on site between the hours of 12p-6:30pm.

Make all registration, tuition and fee payments
conveniently via this website. Be sure to include your child’s name and dates of attendance on the description/notes field on your payment.

REGISTRATION FORM

PROGRAM DESIRED *
PARTICIPANT NAME *
BIRTHDAY *
GRADE
GENDER
MALEFEMALE
SCHOOL
Address
Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

PRIMARY CONTACT

PRIMARY CONTACT NAME *
PRIMARY CONTACT PHONE *
PARENT EMAIL *

ENROLLMENT INFORMATION:

CHILD'S DATE OF ATTENDANCE WILL BEGIN
DAYS OF ATTENDANCE
APPROXMATE HOURS
WEEKLY TUITION PLAN OR MONTHLY TUITION PLAN

Verification

Please enter any two digits *Example: 12
This box is for spam protection - <strong>please leave it blank</strong>:

Enrollment Forms

Please complete and bring to Healthy Youth for faster

registration!

Click Here

Family Manual

Be sure to download and review all program information in this manual.

Click Here

Allergy Action Plan

This is required if you child has allergies or needs medical assistance.

Click Here

The Healthy Youth USA Foundation does not discriminate in employment, program opportunities, or program access on the basis of race, sex, gender, color, religion, national origin, disability, age, veteran status, sexual orientation, political belief, or other status protected by state and federal statues.