Safe Youth Summer Learning and Leadership Program

Safe Youth Safer Lake County, a program of A Safe Place, is partnering with Heart of the City and Beacon Place to offer accessible services at partner locations in Waukegan to support and lead youth within the community. The Safe Youth Summer Learning and Leadership Program will take place from June 17-August 16, 2019, Mondays through Fridays (no program the week of July 4).

Programs will take place at:
Heart of the City: 114 South Genesee Street in Waukegan, Tuesdays through Fridays from 1:00-4:00pm
Beacon Place: 603 South McAlister Avenue in Waukegan, Fridays from 9:00am-12:00pm

Child's Name*
First Last
Age*
Address*
Street Address City State ZIP Code
Phone*
Email*
- Yes, I am interested in also attending the Heart of the City Summer Soccer League on Wednesdays and Thursdays from 5:00-9:00pm
- Yes, I am interested in also attending the Beacon Place Summer Lunch Program on Mondays and Thursdays from 11:00am-1:00pm
I give the Safe Youth Safer Lake County program permission to provide prevention education and small peer groups for social emotional learning and healthy relationships for my minor child. I hereby agree to release and hold harmless The Partnership for a Safer Lake County from and against all liability, loss, damages, claims, or actions for any bodily injury and/or property damage, to the extent permissible by law arising from or related to his/her participation.
Parent/Guardian Name*
First Last
By typing your name above, you agree to the Consent Agreement.
Today's Date
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For more information, please contact Safe Youth Safer Lake County
(847) 731-7165, ext. 118
aalfaro@asafeplaceforhelp.org

Programs & Services