Leadership Corps Program Referral

The Leadership Corps at Youth Enrichment Services (YES) is a program offering teens the opportunity to develop their leadership potential as they participate in and coach outdoor activities. We offer LC programs in the winter (October-March), spring (April-June), and summer (July-August).

Youth Information

Please fill out the following information about the youth and your contact information. We will respond within 2 business days.

Youth's First Name *

Youth's Last Name *

Age *

Youth Cell Phone Number 🛈

Youth Email Address 🛈

Entering Grade (in Fall 2022) *

Primary Guardian First Name

Primary Guardian Last Name

Primary Phone

Primary email 🛈

Relationship to Child

Household Neighborhood

Questions or notes for staff?

Would you like to refer another youth? *

No

Yes