Snowball Registration - 360 Youth Services

The event will be a 2 day, in person event with Speakers, Workshops and Small group discussion October 29 &30! Save the date!

Operation Snowball fosters connections, cultivates self-care and builds community with engaging speakers, workshops and small group sessions. Teen Snow Staff will lead the group in exploring what it means to be courageous and how to share your courage with others.

Snowball Registration- 2 day overnight

Step 1 of 8

Participant Information
Name*
First Last
Preferred Name on Nametag

This Name will be out your name button
Participant Type*
- Teen Participant
- Adult Participant
ID Number*
School*
Grade*
Other School Name*
Age*
Gender
Address*
Street Address Address Line 2 City State ZIP Code
Participant Cell Phone
Participant Email*
Contact Information Opt Out
I DO NOT give my permission for the above participant contact information to be shared with event participants.
By checking this box, you are opting out of sharing your contact information on the "Contact sheet" provided to all participants at the end of the retreat. This is not required, and checking this box will result in the omission of your name and contact on this list.
Have you attended before*
- Yes
- No
T-Shirt Size Preference*

Parent/Guardian Contact Information
Parent/Guardian Name*
First Last
Parent/Guardian Phone*
Parent/Guardian Email*
Additional Parent/Guardian Contact Name (Optional)
First Last
Additional Parent/Guardian Phone
Additional Parent/Guardian Email

Operation Snowball Liability, Transportation, Photo, and Housing Release
PARENTS AND PARTICIPANTS: Please read the following permission and waiver form. Your signature indicates understanding and agreement with Operation Snowball policies
Liability*
I agree to the Liability policy
I understand that Naperville Operation Snowball is not a treatment or recovery program. The participant agrees to follow the camp guidelines and the direction of Naperville Operation Snowball staff. Should any issue arise that requires coordination between Naperville Operation Snowball’s Director(s) and appropriate school staff (i.e. Principal, Dean, School Counselor, Social Worker, Nurse, Resource Officers), I authorize the school, as well as 360 Youth Services (representing Naperville Operation Snowball) to release and disclose verbally, or in writing, any information deemed necessary to coordinate service(s) and aid in response for a period from receipt of registration until two months after the retreat.
Transportation*
I will arrange transportation to and from Camp Manitoqua
I understand that Operation Snowball will not provide transportation to Camp and that the PARENT/GUARDIAN is responsible for transportation to camp on Saturday morning and home from camp on Sunday evening.
Email Address to receive Family Day/Driving Directions*
Photo*
I agree to the Photo policy.
I grant my permission for the taking of photographs and/or video at the Naperville Operation Snowball event in which the above-named participant may be included. I understand that such photographs and/or video will be used for publicity and fund raising purposes only.
Housing*
I agree to the Housing policy.
Camp sleeping quarters and bathrooms/showers are communal and lack privacy. Housing is divided into male, female, and gender-neutral housing. Participants are not permitted in sleeping areas besides their own room. Snowball rules and camp health regulations do not allow more than one person per bed. Please contact Kate at 331-280-1966, or Emit Bear at 331-280-1782 prior to the event for housing questions and/or information about the gender-neutral housing option. Snowball is not able to change housing requests on the weekend.
Parent/Guardian Signatue:*
First Last
NOTE: By typing your name, you are signing this form electronically. You agree your electronic signature is the legal equivalent of your manual signature.
Participant Signature*
First Last
NOTE: By typing your name, you are signing this form electronically. You agree your electronic signature is the legal equivalent of your manual signature.
Date*
MM slash DD slash YYYY

Operation Snowball Permission, Waiver and Agreement
PARENTS AND PARTICIPANTS: Please read the following permission and waiver form. Your signature indicates understanding and agreement with Operation Snowball policies
As a parent / guardian of:*
First Last
Consent*
I designate all matters of emergency decisions to Naperville Operation Snowball authorities and hereby release Naperville Operation Snowball and 360 Youth Services from any liability for accidents. I further understand that I will be notified of any problems or disruptive behaviors on my child’s part and will assume responsibility for them. I hereby release and hold harmless Naperville Operation Snowball and any person associated with Naperville Operation Snowball, from any and all liabilities during the Naperville Operation Snowball retreat.
Parent/Guardian Signature*
First Last
NOTE: By typing your name, you are signing this form electronically. You agree your electronic signature is the legal equivalent of your manual signature.
Participant Signature*
First Last
NOTE: By typing your name, you are signing this form electronically. You agree your electronic signature is the legal equivalent of your manual signature.
Date*
MM slash DD slash YYYY

Personal Device Usage Policy
The personal growth and process of self-discovery that Snowball offers is only possible when participants are able to remain focused on the retreat. Therefore, PARTICIPANTS ARE NOT ALLOWED TO HAVE CELL PHONES OR CAR KEYS on the weekend and will be required to turn them in at registration. Any phones or keys brought on the weekend will be held by staff until Sunday afternoon. Students can be reached for any home emergencies by calling Kate Keir at 331-280-1966. Emergency messages will be delivered quickly.
Personal Device Usage*
I understand that my student will not be allowed to bring a cell phone or have their car keys during the retreat, and that failure to comply will result in confiscation until the end of the retreat.
Contact*
I also acknowledge that my student might feel the need to remain in contact with some Snowball adult staff through group messaging post event.
Parent/Guardian Signature*
First Last
NOTE: By typing your name, you are signing this form electronically. You agree your electronic signature is the legal equivalent of your manual signature.
Date*
MM slash DD slash YYYY

Workshop Selection
You will attend one workshop on Saturday and one workshop on Sunday. Please select your first, second and third choices for each day. We try to honor your selections; however, some workshops have a limited number of spaces available. Descriptions of the workshopsare listed here: https://360youthservices.org/snowball-workshops/
Saturday
Saturday First Choice*
Saturday Second Choice*
Saturday Third Choice*
Sunday
Sunday First Choice*
Sunday Second Choice*
Sunday Third Choice*

What We Do

360 Youth Services provides life changing services through substance use prevention education, counseling, & housing.

360 Youth Services Values: Affirming, Authentic, Compassionate, Empowering, Inclusive, and Respectful

WE’LL HELP YOU NAVIGATE LIFE’S CHALLENGES.

Others Ways to Give

Thank you for providing life-changing services for youth and their families! 360 Youth Services ensures gifts made online are safe and secure. Check out Others Ways to Give, or contact Julie Ryan at jryan@360youthservices.org for information or questions.

See Your Impact
$25 – Gas card for youth to get to school or work
$100 – Counselor coverage for a runaway youth
$250 – One Operation Snowball retreat scholarship
$500 – Two nights of emergency shelter and support for a youth in crisis
$1,000 – Eight hours of counseling support for teens and their families in need
$2,500 – Ten move-in baskets of necessities for youth entering our housing program
$5,000 – Four months of rent for two youth experiencing homelessness.

Our Locations

Fall '22 October 29 & 30

Fall 2022 Operation Snowball:

Snowball Registration- 2 day overnight

Step 1 of 8

Participant Information

Parent/Guardian Contact Information

Operation Snowball Liability, Transportation, Photo, and Housing Release

Operation Snowball Permission, Waiver and Agreement

Personal Device Usage Policy

HEALTH STATEMENTS & PARENT APPROVAL

Workshop Selection

Saturday

Sunday

Payment

Once you hit SUBMIT, your registration is complete!

Follow Us! Stay Connected With Us

Our Locations

Fall '22 October 29 & 30

Fall 2022 Operation Snowball:

Snowball Registration- 2 day overnight

Step 1 of 8

Participant Information

Parent/Guardian Contact Information

Operation Snowball Liability, Transportation, Photo, and Housing Release

Operation Snowball Permission, Waiver and Agreement

Personal Device Usage Policy

HEALTH STATEMENTS & PARENT APPROVAL

Workshop Selection

Saturday

Sunday

Payment

Once you hit SUBMIT, your registration is complete!

Follow Us! Stay Connected With Us

Donate to 360 Youth Services

Donate to
360 Youth Services