TLC-Youngblood Coleman Parent Application 2025-26

San Francisco Recreation and Park Department’s Tennis and Learning Center

At Youngblood Coleman Recreation Center
Parent/Guardian Information:
Parent/Guardian 1

First NameLast Name
Home Address:
Email
example@example.com
Preferred Phone #
Relationship to Child
Highest Education Level
Preferred Language
Parent/Guardian 2

First NameLast Name
Home Address:
Email:
example@example.com
Preferred Phone #:
Relationship to Child:
Highest Education Level:
Preferred Language:

Applicant's Information:
Child's Full Name:

First NameLast Name
Birth date:

MonthDayYear
Gender:
Ethnicity:
Grade for Academic Year 2025-26:
School:
Preferred Language:
Does this child currently have an Individualized Education Plan IEP or is he/she designated as special education at school?*
Does your child have any medical conditions?*
If yes, please explain:*
Please select 'Yes/No' to complete for any additional applicants:*
Child's Full Name:

First NameLast Name
Birth date:

MonthDayYear
Date
Gender:
Ethnicity:
Grade for Academic Year 2025-26:
School :
Preferred Language:
Does this child currently have an Individualized Education Plan IEP or is he/she designated as special education at school?*
Does your child have any medical conditions?*
If yes, please explain:*

Does your child(ren) qualify for the free or reduced lunch program?*
Questionnaire:
1. What academic and social goals do you have for your child? Please be as specific as possible.*
2. What are your child's strengths and challenges?*
3. What would you like your child to gain from the TLC program?*
4. Will your child play afterschool sports or participate in other afterschool programs?*
If yes, please explain.*
5. Parents/guardians are required to participate in TLC by establishing academic goals for your child and communicating on the progress of those goals with TLC staff. Are you willing to be an active participant?*

YesNo
6. Is there anything else you'd like us to know about your child or your circumstances?*
*For more information, email Channing Hale at channing.hale@sfgov.org
Should be Empty:

San Francisco Recreation and Park Department’s Tennis and Learning Center