Register for a Youth Program

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Available Programs*

Thank you for choosing Jubilee’s Youth Sports program!  We look forward to working with your child(ren) this year! Jubilee’s Youth Sports program helps children learn about healthy lifestyles through physical activity and teamwork. Our program is completely FREE and lead by qualified staff.

You will need to fill out one application per child you want to enroll in the program. We are now only accepting applications for children ages 4-15 years old.

Please review the following information for camp details: – We are only accepting applications for 1st – 8th graders – 9th-12th graders are welcome to join as volunteers, please email DeVaughn or Ale if interested – Camp dates are March 10th – 14th, 2025 – Program runs from 9am – 12pm at Jubilee Park – Athletic wear is required (closed toed shoes, clothing comfortable enough to exercise in) – Personal waters are encouraged – Camp will consist of exercise, sports games, and free play – All levels and abilities welcomed

Thank you for joining the Jubilee Youth Basketball Season! Players should be willing to learn the sport, focus on developing their skills and conditioning, and be prepared to work with other players. These concepts will be the foundation that players build upon, as they attend practices twice a week that consist of drills, skills practice, and scrimmage games.

You will need to fill out one application per child you want to enroll in the program. We are now only accepting applications for children ages 8-15 years old.

Please review the following information for camp details:

We are only accepting applications for 1st – 8th graders

9th-12th graders are welcome to join as volunteers, please email DeVaughn or Ale if interested

Camp dates are March 10th – 14th, 2025

Program runs from 9am – 12pm at Jubilee Park

Athletic wear is required (closed toed shoes, clothing comfortable enough to exercise in)

Personal waters are encouraged

Camp will consist of exercise, sports games, and free play

All levels and abilities welcomed

Welcome to Jubilee Park and Community Center’s After School application! We are excited to work with your child/children this year!

You will need to fill out one application per child you want to enroll in the program. All information will be kept private. Any information you provide will only be used for funding, reporting, programming and evaluation purposes.

Dear Parent/Legal Guardian,

Thank you for choosing Jubilee’s Youth Sports program!  We look forward to working with your child(ren) this year!

Jubilee’s Health and Wellness department seeks to improve lives and strengthen community, with a focus on closing the equity gap and increase life expectancy. Jubilee’s Youth Sports program help children learn about healthy lifestyles through physical activity and teamwork. Our program is completely FREE and lead by qualified staff.

We are accepting applications for Youth Flag Football: ages 7-14 years old. Please fill out all of the application.

Please note the below information for dates and enrolment requirements.

7-10 years old: Sessions begin: Wednesday, April 2nd, 2025 / Ends on Monday, May 11th, 2025

7–10-year-old group will play every Monday and Wednesday 6:15-8:00pm @ Jubilee Park

11-14 years old: Sessions begin: Thursday, April 3rd , 2025 / Ends on Tuesday, May 13th,2025

11–14-year-old group will play every Tuesday and Thursday 6:15-8:00pm @ Jubilee Park

Your child cannot be enrolled in the program until the following have been completed: 1.  Completely fill out and turn in the Youth Sports program application.  Incomplete applications will not be processed.  2.  Attended our required Parent Orientation session: Monday March 24th, 2025, at 6pm Wednesday March 26th, 2025, at 12pm or 6pm

All sessions will take place in the clinic classroom at the Jubilee Community Clinic. The Clinic is located at 820 Ann Avenue, Dallas, TX. 75223. All sessions will have Spanish translation.

Thank you for choosing Jubilee Park & Community Center! Please contact me should you have any questions and/or need more information.

Sincerely,

DeVaughn Williams

Health and Wellness Coordinator

dwilliams@jubileecenter.org

214-887-1364 ext. 243

Child's Name*

First Name Middle Last Name

Child's Date of Birth*

MM slash DD slash YYYY

Address*

Street Address City State ZIP Code

Child's School*

Child's School (Other)

Child's Grade*

Grade Your Child Just Finished*

Student ID Number [you can find this on their lunch card or report card]*

Gender*

Male

Female

Other

Race/Ethnicity (Select all that apply)*

Black/African American

Hispanic/Latinx

White/Caucasian

Asian/Pacific Islander

Other

If you answered other, please specify

Parent/Caregiver Information

The adult listed here is certifying that they are the legal guardian of the child/children listed on this application and are able to make decisions on their behalf.

Student lives with (Check all that apply)*

Father

Mother

Grandparent

Foster Parent

Legal Guardian

Stepparent

Other (please specify)

If other caregiver, please specify

Language of Parents/Guardians [check all that apply]*

If you answered "Other" please specify

Child's Preferred Language (Select all that apply)

English

Spanish

Other

Student's Primary Language [check all that apply]*

If you answered "Other" please specify

Will your child be attending Session 1, Session 2, or both?

T-shirt size*

Does your child have permission to walk home after camp ends at 12pm?*

Yes

Does your child have permission to check out at 5:45pm and walk home?*

Yes

Child’s Health Information

Does your child have any medical conditions? If yes, please check all of the following conditions that your child has:*

Does not apply

Bee Sting Allergy

Asthma

Diabetes/Pre-Diabetic

Vision/Hearing

Special Needs/Disability

Other

If you answered "Other" please specify

Does your child need/use any of the following?*

Does not apply

Medication

Bee Sting Allergy

Other Allergies

Asthma

Inhaler

Diabetes

Insulin

Vision/Hearing

Glasses

Hearing Aid

Epi-Pen

Food

Special Needs/Disability

Other

If you answered "Other" please specify

Has your child been diagnosed with pre-diabetes, Type 1 or Type 2 Diabetes?*

Yes

Is your child allergic to anything?*

Yes

If yes, please specify your child's allergy.*

Is your child taking any medication? Please note that Jubilee does not administer medications.*

Is your child currently under any medical care?*

Is there anything else we should know about your child's health?

Has your child been diagnosed with a learning difference? (Check all that apply.)*

No diagnosis

Dyslexia

ADD/ADHD

Autism

Other

If other, please specify your child's learning difference.*

Are there any other school-aged siblings in the home that will be attending the Afterschool program?*

Yes

If yes, please list:

Parent/Caregiver #1 Information: The adult listed here is certifying that they are the legal guardian of the child/children listed on this application and are able to make decisions on their behalf.

Caregiver's Name*

First Name Last Name

Caregiver's Email*

Caregiver's Phone*

Caregiver's Email

Caregiver's Relationship to Child*

The primary contact will receive communications via email, text or phone call. What language do you wish to receive updates in?*

English

Spanish

Other

Would you like to add another Parent/Guardian?*

Yes

Caregiver #2's Name*

First Name Last Name

Caregiver #2's Email

Caregiver #2's Phone*

Caregiver #2's Relationship to Child*

Authorized Individual #1: You are authorizing Jubilee to contact this person about your child. Must be 18 or older. This person must be different than the Parent or Caregiver previously listed.

Name [First & Last]*

Phone Number*

Authorized Individual #1 Relationship to the child:*

Would you like to add another authorized individual?*

Authorized Individual #2 Name, Phone Number*

Authorized Individual #2 Relationship to the child:*

Would you like to add another authorized individual?*

Authorized Individual #3 Name, Phone Number*

The following information is not required, however it will be used for funding purposes to help Jubilee continue to provide free programming. You will not be personally identified in any reporting. This information will not be reported to the IRS or any government entities and will be kept private.

Household Income

Do your children receive free/reduced lunch at school?

Yes

Number of people living in your household (including yourself)

Did your child attend a Pre-K program such as Head Start?

Yes

How many adults are working in the household?

3 or more

Are you interested in more information about any of Jubilee's other program opportunities? (Check all that apply.)

Youth Sports

Financial Assistance/Food Pantry

Workforce Programs

English as a Second Language Programs

Senior Programs

Other

Will your child need transportation from school to Jubilee? (Mata and JL Long only). Jubilee transportation space is limited and not guaranteed.

Yes

I understand that Jubilee’s Afterschool Program is a FREE program. I agree that my child will attend 75% or more of available programming days, or they may be dropped from the program. These services are possible through grants. I give permission for Jubilee staff to review my child’s academic files for the purposes of analyzing program effectiveness and reporting to funding sources. I also understand that Jubilee staff may not accept or befriend any parents on any social media sites. I certify that I am the legal guardian/have parental rights and am able to make decisions on my child’s behalf.*

Yes, I acknowledge. Please submit my application.

First Parent/Guardian First & Last Name*

First Parent/Guardian Phone Number*

First Parent/Guardian Email Address

First Parent/Guardian Preferred Language*

Second Parent/Guardian First & Last Name*

Second Parent/Guardian Phone Number*

Second Parent/Guardian Email Address

Second Parent/Guardian Preferred Language*

In the event that a parent or guardian cannot be reached please provide contact information for an authorized individual we may contact.

Authorized Individual First & Last Name*

Authorized Individual Phone Number*

Authorized Individual Email Address

Authorized Individual – Relationship to the Child

Grandparent

Aunt/Uncle

Step-parent

Family Friend/Neighbor

Other

Does your child have permission to walk home after camp ends at 12pm?*

Yes

Parent/Guardian Name and Date*

I certify that I am the legal guardian/have the parental rights and am able to make decisions on my child’s behalf.*

Yes, I acknowledge. Please submit my application.

Volunteering

(Must be 14 or older)

Are you interested in volunteering?*

Yes

Volunteer's Name*

Volunteer's Phone*

What activities are you interested in volunteering for? (Check all that apply)*

Coaching

Refereeing

Hydration Station

Sign-in/Attendance

Manage Equipment

By submitting this application, I acknowledge that I am the child's parent or legal guardian and can make decisions on their behalf.*

Yes, I acknowledge. Please submit my application.

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Available Programs(Required)

Welcome!

All classes will take place at Jubilee Park & Community Center [917 Bank Street, Dallas, Texas 75223].

You will receive a follow up email. Please contact the Housing & Workforce Manager, at 214-887-1364 ext. 260 with any questions.

Classes begin the first week of February; 18 people are required to be able to have the course.

The following information will be used for program impact and evaluation. Your information will never be shared with the IRS or other government organizations.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City ZIP Code

Phone Number(Required)

Email(Required)

Date of Birth(Required)

MM slash DD slash YYYY

Emergency Contact Information

Emergency Contact Name

Emergency Contact Phone Number

Emergency Contact Relationship

Household Information

Household Income

What is your household income during a year?