Calumet City Youth Development Services Afterschool Program Enrollment Form

Calumet City’s Youth Development Services program is an out-of-school time program offered free of charge through a federal grant administered by the Illinois Department of Human Services. The program offers academic support, academic enrichment, college and career readiness, and recreational opportunities for participants, and it also serves participants’ families. To get the full benefit of the program, your child should attend daily. Participants who do not attend regularly (80 percent of the time) may be dropped so other participants have the opportunity to participate.

Please complete and submit one form per student being enrolled in the Youth Development Services after school program.

    Enter child's full name

    Your full name

    Your address including city state and zip code

    Your home phone number

    Your cell phone number