Applications & Forms for Visiting Youth

Submit these two forms together:
Youth Exchange Application (Excel)
MD4 Consent, Release and Indemnity Agreement (Word) 

Medical Form (PDF) Can be submitted at a later date after seeing M.D. 

Scholarship Application (Word)

For further information, please contact Dr. Jun Valera

 

lionjunvaleramd4yep@icloud.com

lifesaver58@gmail.com

 

650-754-1531