2019 Youth Programs Registration Form

Youth Program Information
Note: Program Name must match the name on the space reservation request, and contract if applicable
Note: This could be a non-profit, LLC, or name of an individual
*If organized by a third-party, list all Georgia Tech offices and departments managing the space reservations.

*If a third-party, list the names of all the people you are working with to reserve space.
*If a third-party, list the email addresses of all the people you are working with to reserve space.
*We recognize schedules may shift as you reserve space. The schedule must include all requested locations, and represent scheduled activities (or types of activities).
Files must be less than 2 MB.
Allowed file types: jpg jpeg txt pdf doc docx ppt pptx xls xlsx.
Note: Does the program occur multiple times a year (once a week for a month, once a month for three months, etc)? If so, list the number of times the program occurs. This question is not meant to gather the number of breakout sessions or activities within one program.
For multiple programs use start date of first program and end date of last program.
Ages or grade levels are acceptable for this field.
Ages or grade levels are acceptable for this field.
Youth Program Location (please include name of location and address)
Street Address, City, State
Youth Program Contact Information
Youth Program Requirements
All youth programs must consider and meet the following criteria in the planning of the program:
  • Pre-screening, background checks, and training of all staff and volunteers with direct interaction with minors
  • Appropriate staffing and supervision ratios by age range
  • Safety and security planning
  • Response protocols for injuries, illness, participant misconduct, and staff misconduct
  • Transportation and Housing needs
  • Participation requirement forms
  • Licensing requirements of state and federal agencies
Accept Policy Terms
Policy Terms
You may also read and print the policy from the Georgia Tech policy library here: Youth Programs at Georgia Tech Policy
This field should be completed if the youth programs registration form was completed and submitted on behalf of another person.