Addison Central Teens Youth Registration Form
If you are new to the Teen Center, and even if you have filled out a registration form in the past, please complete and submit this form. For your safety and well being, we do our best to keep our information as up to date as possible.

For more information about the Teen Center be sure to check out our website and our social media!
https://www.middteens.org/ 
Instagram: @addisoncentralteensvt
TikTok: @addisoncentralteensvt
Facebook: Addison Central Teens

77 Mary Hogan Drive, Middlebury, VT 05753
(802) 349-1790
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Name *
Last Name *
Current Grade *
Town *
Age? *
Student Email
Pronoun
School Pod *
Please list any food allergies *
Teen Center Rules
1. We are a substance free space
2. We respect ourselves, others, and the space
3. NO violence in speech, music, or actions
4. The Teen Center has a zero tolerance policy for violence
By checking this box, you are agreeing to follow the rules and policies of Addison Central Teens *
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