Mental Health Through Music development

Mental Resilience Summer Lab

Envision Youth Services is continuing the work of our Mental Resilience Retreat through our Mental Resilience Summer Series. This summer, youth will have the opportunity to participate in programs designed to strengthen emotional wellness, confidence, leadership, creativity, and personal growth.Our summer programs include Mental Health Through Music, Mental Resilience for Athletes, and Mental Resilience Through Leadership. Each program creates a safe and supportive space for youth to build life skills, express themselves, develop healthy coping tools, and grow into stronger leaders. Thank you to our Change Agent Partners — Unity of Faith, Raw Suga Shack Studios, LA Watts Summer Games, and EQ Athletics — for your commitment of services and helping us build, express, lead, and grow through the Mental Resilience Summer Lab.
Participant First & Last Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Date of Birth

MonthDayYear
Groups are formed based on age. Which group is for you?
Which program are you signing up for?
Participant Address (If displaced, write N/A)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian First & Last Name (if under 18)

First NameLast Name
Guardian Address (if under 18)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Guardian's Email (if under 18)
example@example.com
Guardian's Phone Number (if under 18)
Please enter a valid phone number.Format: (000) 000-0000.
I prefer to be called (In this program):
ex: social media/ website/ radio
Social Media Handles:
Example: Instagram, Twitter, TikTok, Youtube
Do you need community service hours, if so how many hours?
Example: Community Service hours can be used for probation, college applications or to add to your reume
What are your talents and skills? & List 3 areas in your life you want to improve
Example: Sound Engineer, Producer, writer, Music Artist. Learn: How to register to protect your music
Are you looking for a summer job?
If YES, please share any work experience you have & list the the of jobs, skills, or areas you are interested in.
Have you been impacted by the social justice system (Incarceration, probation)? If yes, how?
List 3 main supports you need now?
EX: Transportation, Employment, Therapy/ Counseling etc.
I feel confident sharing my work or ideas with others.
When things get stressful in life, I have healthy ways to calm myself down.
I can recognize when I’m starting to feel overwhelmed and know what helps me reset.
List 3 personal goals you want to accomplish this year?
EX: Personal and career wise
If you had to name ONE barrier in life right now, what would that be?
What foods are a "NO" for you? Any food allergies?
Are you taking any medications? If so, please list below
Do you have a developmental disability or learning difference that would like us to be aware of so we can better support you?
If YES, please list development disability or learning difference below
Daily Patterns: Check only if it applies to you
Interest & Talents
Should be Empty:

Mental Resilience Summer Lab