Skip to main content

Youth/ Child Registration for Groups

Indicates required field

Note: If the youth/ child involved is a participant in a partner organization program taking at a partner site, you do not need to complete this form on their behalf.



The primary group contact needs to complete this form. Do NOT let the youth/ child complete this form. If you have questions, please contact source@jhsph.edu or call (410) 955-3880.

Individual Youth/ Child Information

Emergency Contact Information

CAPTCHA