Matrix Youth Spring Camp

Matrix Youth Spring Camp

Complete the form to request more information
Welcome to our Matrix Youth Spring Camp pre-registration. The camp will take place at The Matrix Center from Monday, March 30th to Thursday, April 2nd, from 8:30 AM to 3 PM.

Please note that camp is open only to youth ages 10-17.

After completing this form, you will receive an email confirmation within 48 hours with details about the in-person enrollment dates and times.

There are 60 spots available and will be filled on a first-come, first-served basis.
If you have any questions, please feel free to email us yapservices@matrixhs.org or call 313-938-0187.
Youth Name*

First NameLast Name
School*
Current Grade*
Youth Date of Birth*

MonthDayYear
Date
MaleFemale
Black/African AmericanWhite/CaucasianOther
Youth Height (estimate)*
Youth Height (ex. 5'2)*
Youth Weight (lbs)*
Youth Weight (estimate)*
Hair Color*
Eye Color*
Parent/Guardian Name*

First NameLast Name
Parent Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Most Recent Report Card*

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How did you hear about Matrix Human Services*
By signing below, you acknowledge that your child is expected to attend spring camp daily. In the event of any absence—scheduled or unscheduled—you are required to notify us via email at yapservices@matrixhs.org or by texting 313-938-0187. Youth that exceed two absences without written notification will be automatically disenrolled from the program.

Please note, youth and parent signatures are required to receive services.
Parent Signature*

Clear
Youth Signature*

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Should be Empty: