Verify Email

Email Verification

This form verify email with a legal signature.

Which County Does the Participant Live in:(Required)
Which voucher did you apply for?(Required)
Adventure=Adults ages 18 & older, trips, day adventures.....CARE=all ages, summer and break day camps, leisure programs, horseback, special interest classes, sports.....CARE/Recreation Support=all ages, personal care for toileting, feeding, dressing, behavior support at an inclusive program, family hires and pays caregiver.....After School is only in St. Louis City and County.....Overnight Camp=all ages, week-long or 3-4 day overnight programs
Enter GUARDIAN email
Name(Required)
Enter PARTICIPANT name (person attending the program)
MM slash DD slash YYYY
Clear Signature