Hmong Youth and Parents United
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  • Home
  • COVID-19 Programs
  • About HYPU
    • Board of Directors
    • Leadership Team
    • Community Donors and Volunteers
  • Programs and Services
    • Youth Circles
    • Youth & Community Pop Ups
    • Scholarship Program
      • Scholarship 2020
      • Scholarship 2019
      • Scholarship 2018
    • Senior Day Program
      • Senior Recipes
    • Hmong Enrichment Summer Camp
    • Performing Arts & Culture Program
      • Community Classes Recap
    • Naturalization and Citizenship Service
    • Disparity Prevention Program
  • Community Resources
    • COVID-19 Resources
    • Harm Reduction Resources
    • Domestic Violence Resources
    • Suicide Prevention Resources
    • Youth Resources
  • Make a Donation
    • Smile Amazon
  • Contact Us
    • Employment Opportunities
    • Volunteer with Us!
Sacramento, California
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    All Student Registration Form

    Registration due by Friday, June 5, 2020. 
    This form is also used for the High School Hmong Leadership Class. 
    Spots are limited. The Program Coordinator will send an email to confirm registration. 
    ​
    Direct any questions or concerns to the Program Coordinator:
    Kao Nue Xiong
    kaonue.xiong@hypu.org
    (916) 947-8524

    1. Student Information 

    Will be used during programming

    2. Emergency Contact Information 

    3. Medical Information 

    ​In the event of an accident or other emergency when a parent/guardian is unavailable, I hereby authorize the program to make necessary arrangements for my child to receive medical or hospital care, including transportation. I agree to pay all costs incurred. Under the above circumstances, I further authorize the physician named below to undertake such care and treatment of my child as necessary. In the event said physician is not available, I authorize such care and treatment to be performed by a licensed physician or surgeon.

    4. Student Survey 

    Please answer the following questions as best as you can.
    (a) Is your child in any of the following programs or receiving any of the following services?
    (b) ​Check the HYPU programs your child has participated in.
    (c) Student Hmong Language Fluency 
    (e) What are your expectations of the program? 
    (f) What would you like us to know about your child?

    5. Student Photo/ Video/ Product Release

    I hereby give the the District and summer program, its employees, assigns and agents permission to utilize and/or publish work my child produces during summer activities and to utilize and/or publish photographs or video taken during program activities or at special events sponsored by the District and the summer program where my child may appear. These photographs, student products, and video materials may be used in publications, audiovisual presentations, promotional literature, advertising, or any other manner without compensation to the child, parents, or guardian.

    6. Parent Signature

    By signing, you verify that all information provided on this form are accurate. 
Submit
Hmong Youth and Parents United, Inc © 2020
  • Home
  • COVID-19 Programs
  • About HYPU
    • Board of Directors
    • Leadership Team
    • Community Donors and Volunteers
  • Programs and Services
    • Youth Circles
    • Youth & Community Pop Ups
    • Scholarship Program
      • Scholarship 2020
      • Scholarship 2019
      • Scholarship 2018
    • Senior Day Program
      • Senior Recipes
    • Hmong Enrichment Summer Camp
    • Performing Arts & Culture Program
      • Community Classes Recap
    • Naturalization and Citizenship Service
    • Disparity Prevention Program
  • Community Resources
    • COVID-19 Resources
    • Harm Reduction Resources
    • Domestic Violence Resources
    • Suicide Prevention Resources
    • Youth Resources
  • Make a Donation
    • Smile Amazon
  • Contact Us
    • Employment Opportunities
    • Volunteer with Us!