Refer a Youth or Young Adult for Y Alive & Free Street Outreach Services

Please use this secure, confidential form to request the Y’s Alive & Free street outreach services for a youth or young adult (the client).

You and/or the client can also call us at (206) 749-7550 between 8:30am - 4:30pm Mon-Fri, or email alivefree@seattleymca.org.


Your Information

.

Client Information

What contact info do you have for the client? (please include all you’re are aware of):

.
.