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Students & Parents

Tyler's House KC serves teens in Northeast Johnson County Kansas and surrounding communities, providing a place of belonging and connection. Events and activities are free of charge. However, donations of funds, food, and supplies are always accepted and appreciated.

Students may become members of Tyler's House KC by completing the online application below. Parents/guardians will then be emailed a liability waiver to sign. Once signed, students will be invited to sign up for various activities and events on the Band App. The complete application must be on file in order to participate in Tyler's House activities.

 
Student Application
Please fill out the form below. All information is strictly confidential and private.

Student's Information

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Race/Ethnic Origin
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Home Address

1. Parent/Guardian Name

2. Parent/Guardian Name

Eligibility Requirements:

  • Students must be in 9th-12th grade (unless otherwise specified).

  • Students must adhere to the code of agreements and respect staff and volunteers at all times.

  • Students must be able to function independently at programs and events.

  • Students must be able to communicate effectively with adults and other students.

 

To qualify for programs/events at Tyler's House KC, students must meet the criteria listed above. We reserve the right to deny services at any time based on any of the aforementioned eligibility requirements or for any other reason, including the actions/inactions of the student, parent, or guardian. These eligibility requirements are subject to change without notice.

Please read each student code agreement

Respect:

  • I will honor Tyler's House KC and other's space and property by treating others the way I want to be treated

  • I will promote kindness and encourage others, rather than put them down with hurtful comments.

  • I will respect Tyler's House KC staff and volunteers by giving them my full attention when asked

Responsibility:

  • I will promote an alcohol, tobacco, drug and violence free environment at Tyler's House KC activities

  • I will use appropriate language at all times while at Tyler's House KC

  • I will be responsible for my actions and attitude by being open and teachable

  • I will help keep Tyler's House KC clean and accessible to all 

Participation:

  • I will attend the events I sign up for and I will let Tyler's House KC know 24 hours in advance if I cannot attend

  • I will remain in the immediate area of the event for the entirety of the event unless I have communicated with staff and my parent(s), and I have received permission to leave

I commit to these Agreements and I understand attendance at Tyler's House KC is a privilege and voluntary. Tyler's House KC reserves the right to contact the student’s parent(s)/guardian and/or the authorities as appropriate for the situation.

Student Signature

Thanks for completing the Student Application! Your Parent/Guardian will receive an email with permission forms they need to complete for you to attend events at Tyler's House KC.