Skip Navigation

SOURCE (Student Outreach Resource Center)

Youth/ Child Registration for Groups. 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