Apply for BOUNCE!

Youth Enrollment Eligibility Form

Below is a short initial application to enroll a youth in the program. It may be completed by the parent, caregiver or a person sponsoring a youth and facilitating his/her attendance.

A Wellspring Counselor will reach out to the contact person to discuss the appropriateness of the youth for the program and to answer any questions.

For questions about this program for a child you know, contact bounce@wellspringmiami.org.

Note: All information gathered will be kept confidential under HIPPA guidelines.
*County funds available on a first come first serve basis

Bounce Applications