The Oak WashCo Youth Center Registration Form 
Registering your youth for The Oak WashCo Youth Center provides important contact information. Youth are not required to register for specific days they attend the youth center and are not required to stay here unless their parents have requested they do so. 
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Youth First and Last Name  
Grade 
Age
Youth Email Address 
Youth Phone Number 
School District 
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Parent/Guardian First and Last Names 
Parent/Guardian Phone Numbers
Parent/Guardian Email 
Additional Emergency Contact (if parents can not be reached) please include name and phone number 
At times, youth will ask to leave The Oak to walk to get food or for other reasons after school or during a non school day. Do you give permission for your youth to leave the youth center once they have arrived? If leaving, we ask all the youth to let their parents know where they are going via text and when they return to the youth center 
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Please review the Norms for The Oak with your youth. All youth are asked to follow The Oak Norms while at the youth center. 
I have reviewed The Oak Norms with my youth and they agree to follow the norms while participating in programming at The Oak. 
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Additional Information, please include any additional information about your youth you would like the staff to know (ie allergies, internet restrictions, other concerns)
Thank you for registering your youth at The Oak WashCo Youth Center. We will keep parents and youth up to date about events at The Oak via email. If you need to contact us please call 715-635-4416 or email jbuchman@co.washburn.wi.us 
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