YTB STPETE - Youth Activity Record

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Use this form to record your community service activity. Please record each activity separately.

You will need to let us know if this is a new activity for you, and if not, whether you are doing it with someone new (a new family member, a new friend, a new person, etc) or if it is for the same person you've done it with before.

YOUR NAME (or Initials) *

Your birthdate (this helps us confirm who you are) *

YYYY

PHONE NUMBER: (Use the phone number from your application - your parents phone number) *

What date was the activity completed? *

YYYY

WHAT ACTIVITY DID YOU DO? (Describe what you did) *

How long did it take? (choose one) *

Fifteen Minutes

1/2 of an Hour

3/4 of an Hour

One Hour

Two Hours

Other:

Is this something that you have done before? *

Yes I've done this before but this was with someone new

Yes, I've done this before, with this same person or family

No, I've never done this before, it was new for me

Please let us know how you felt doing this activity *

It felt good. I liked helping in this way

It felt fantastic! I can't wait to do this again

did you send a photo to stpetetimebank@gmail.com? *

Yes

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