Youth Services Notifications

To sign-up for Youth Services Program notifications, please fill out the form below. For any questions regarding the Youth Services Program, please contact lpdyouthservices@lowellma.gov.

"*" indicates required fields

Parent/ Guardian Name*

First Last

Relationship to Participant*

Parent/ Guardian #2 Name

First Last

Parent/Guardian #2 Relationship to Participant

Home Address

Street Address City ZIP Code

Cell Phone

Home Phone

Primary Contact Email

Participant Information

Child Name*

First Last

Date of Birth*

Gender*

School*

Please select the activity your child is interested in*

Boxing

Basketball Clinic (Spring)

Strongwater Farm Program (Summer)

Learn to Swim Program (Summer)

Flag Football Clinic (Summer)

Flag Football (Fall)

Friday Night Open Basketball (Winter)

Participant Information

Lowell Police Department