For more information about programming and enrollment visit our enrollment page, https://ahasb.org/enrollment/

Please complete this application as a first step toward enrolling your teen in AHA!.
Once you hit “submit,” the webpage will be completely blank, and you will receive communication about the next steps. If information remains in the cells after you submit it, please review the form and update any missing or incorrectly entered the information.
Please submit only one application per teen per term. Once enrolled, if you would like to add additional groups/programs, please contact Community Enrollment Coordinator, Paulina Romer, via email at Paulina.ahasb@gmail.com, or text at 805-637-5590

2023-2024 AHA! Santa Barbara Youth Program Application

Please complete this application as a first step toward enrolling your teen in AHA!.

Please submit only one application per teen per term. Once enrolled, if you would like to add additional groups/programs, please contact Community Enrollment Coordinator, Paulina Romero, via email at paulina@ahasb.org, or text at (805) 229-1079
Student Information















Parent/Guardian Information










Note: Email Address provided above will receive confirmation email.
Parent/Guardian Address Information (if different from student address above) 











Parent Survey




Referral Information







School Information


Emergency Contact Information










What Programs Are You Interested in Participating In?
Group options that appear below are dependent on grade level selected.


We offer our out-of-school programs by donation. Please donate what you can; any amount is accepted. We will follow up with you once your enrollment is received. Thank you for supporting AHA!

If your family is unable to donate, please contact Executive Director, Roxana Petty at roxy@ahasb.org

Contact Information