MENU

Healthy Relationships Summer Program Application Form

Please note that The Arc of King County’s Healthy Relationships Program can only support individuals residing in King County. Additionally, the summer program will have 2 staff and approximately 10 students.  Due to our limited staff, we are unable to provide personal care or accommodate individuals with aggressive or unsafe behaviors. This program is not intended to be childcare, respite, or provide supervision; if a student needs such support they must bring their own care provider. 


Submission of this application does NOT guarantee a space in our program.  We will call you within a week with some additional questions to learn about you and determine if you will be a good fit for our program. 


If you have questions about the program or application please contact us at: 206-829-7059 or at HealthyRelationships@arcofkingcounty.org

 


Healthy Relationships Program Application
Parent or Contact Person Information
First Name
Last Name
Country
Address Line 1
Address Line 2
City
State
Postal Code
Healthy Relationships Student Information
First Name
Last Name
/
/
Country
Address Line 1
Address Line 2
City
State
Postal Code
Which Summer Session are you interested in attending?
What are you interested in learning about in this class? Please check all that apply