Sister Circle

Sister Circle

Sister Circle is a supportive, skills-based program where youth build confidence, communication, and leadership while forming meaningful connections with peers. Older participants mentor younger ones through fun, hands-on activities that encourage growth and positive role modeling.
Child’s Name*

First NameLast Name
DOB*

MonthDayYear
Date
Parent/ Guardian *

First NameLast Name
ACTION, Inc. – Sister Circle Parent Agreement

By signing below, I agree to the following terms for my child’s participation in the Sister Circle program:

Weekly Contact with YPSS – I understand that my child will have scheduled weekly contact with a Youth Peer Support Specialist (YPSS) to work on skills such as leadership, communication, impulse control, and self-awareness. I will support my child’s participation in these sessions.

Monthly Group Event Commitment – I understand that Sister Circle holds a group event on the third Sunday of each month from 2:00–4:00 PM, where youth practice learned skills in fun, structured activities with peer mentors. I agree to ensure my child attends these events regularly. Transportation may be provided if absolutely necessary.
Signature*

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Photo/Media Release (optional) -I give permission for ACTION, Inc. to photograph or record my child during program activities for use in promotional materials, social media, and other publications. I understand that my child’s name will not be used without additional consent.
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