Please complete this Youth Institute Application to be contacted by our Teen Development Coordinator about participation.


About The Youth Institute Program 

Challenge yourself! Learn valuable skills, both academic and professional. Learn how to participate in digital media arts, create collective group projects, work on creative writing skills and embrace a peer-to-peer collaborative environment. 

We will create meaningful interactions with our local community through volunteer opportunities. There will be numerous chances for teens to step into leadership roles during the Summer, giving them the ability to build communication, conflict-resolution and critical-thinking skills.

We work towards having a fun, energetic and welcoming environment for all who choose to participate. A stipend will be given to all participants; requirements are that participants attend programming as scheduled (no unexcused absences) and that participants are fully involved in group projects and activities.

Summer 2021 Program Info:

Dates: June 28 - August 13


Youth Institute is limited to 18 students for the summer.


Applicant Information


Do you use an EpiPen
Grade in Fall 2020
High School in Fall 2020

Parent/Guardian Information


Youth Institute Questionaire

To be completed by the Youth Institute applicant. We want to learn about you! Applicants must complete this questionnaire to be considered. 


  • I understand that 100% attendance is required and that I will forfeit all or part of my stipend if I have an unexcused absence.
  • I understand that I am expected to contribute to an inclusive and safe learning environment for myself and my fellow peers.
  • I understand that more than two unexcused absences are grounds for termination from the program.
  • I understand that the days and time of the program are Monday through Thursday, 10:00am-4:00pm.
  • My guardian and I agree to abide by all rules and regulations of the Whatcom Family YMCA.
  • I understand that I am expected to complete a movie and teen magazine article by the end of the summer program to receive full stipend.
  • I understand that I am expected to use appropriate language, am not allowed to smoke, chew tobacco, possess any type of smoking materials, alcoholic beverages or illicit drugs while a participant in the program.
  • I understand that there will be specific times allowed for listening to a personal music device. I understand that if I use my music device outside of the allotted times, I may not receive my full stipend.
  • I understand that any music I share with others must be appropriate, i.e.: no glorifying drug or alcohol use, no inappropriate or degrading language, etc.
  • I understand that I may not use a cell phone during Youth Institute class time or on any field trips. I understand that if I am repeatedly asked to put my phone away, I may not receive my full stipend.
  • I understand that as a participant, I am encouraged to develop friendships with participants, but no displays of affection (i.e. hand holding, kissing, romantic relationships, etc.) are permitted during the program.
  • I understand that all of my personal belongings while attending the Youth Institute are my sole responsibility and that the YMCA is not responsible for damaged, stolen or lost possessions. 
  • I understand that I may be suspended or terminated for fighting, threatening, stealing, disrespecting any staff member’s authority or being disruptive to the learning environment of the Youth Institute.
  • I understand that possession of any weapons or firearms is immediate grounds for expulsion.
  • I understand that I may be terminated for not following any staff member’s instructions while participating in Youth Institute.
  • I understand there is a dress-code that is required throughout the seven weeks we will be together. No low-cut, strapless or crop-top shirts. Midriffs and backs must be covered at all times. Shorts and skirts must reach your fingertips or longer. Undergarments should not be visible regardless of the activity. No clothing with logos, graphics, or writings that are derogatory, hateful, or not age-appropriate as determined by Y staff. 
  • I understand that I will be terminated immediately if I access any sexual or hateful content online. 
  • I understand that I am required to participate in at least one community impact project.
  • I understand that I will help plan and attend the Youth Institute graduation.

I have read and understand the Code of Conduct for the Whatcom Family YMCA Youth Institute. There are other rules that may apply. I will abide by all of the above regulations or may risk termination from the program. 

I agree to the Youth Institute Code of Conduct

Photo Release:  I do hereby grant permission for the YMCA (local, national, and international) to use, without limitation or obligation, photographs or other media that may include my child’s image or voice to promote or interpret YMCA programs.

Photo Release

Medical Authorization & Liability Release:  As a parent/legal guardian, I hereby agree to hold harmless the YMCA staff, directors, and volunteers from liability for any accidents resulting from participation . I consent to the YMCA to secure emergency care as needed or prescribed at my expense for my child. This care may be given under whatever conditions are necessary to preserve the life, limb or well being of my child. I also give permission to the YMCA to provide transportation as needed for my child in case of an emergency, at my expense. I understand that it is my responsibility to inform the YMCA of any changes to my child’s health.

Medical Release

Swim Ability: I understand that on my child’s first visit to YMCA pools, my child will participate in a swim test.He/she will be placed into the appropriate swim level according to the lifeguard’s evaluation as described in the parent handbook.

Swim Ability

Climbing Wall Release: In consideration of the YMCA allowing my child to use the Climbing Wall, I the undersigned user, agree to indemnify and hold harmless the YMCA, its officers, directors, agents and employees, from all causes of action, claims, demands, losses & consequence of the neglect of the YMCA in safeguarding my use of the Climbing Wall, or because of any act, neglect or misconduct of the YMCA, its officers, agents and employees.

Climbing Waiver
Sign above
Sign above

PLEASE NOTE:  When you click the SUBMIT button below, there may be a slight pause while the webform sends. Please be patient. You should be directed back to the Youth Institute page and you will receive a "Thank You" email (check your spam folder). Thank you for your interest in the Youth Institute Program, our Teen Development Coordinator will reach out to you with more information.