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Afterschool Programs

Please complete the form below for each student applying to participate in an Afterschool Program.

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First Name

Last Name

Gender
 Male Female

Email (Parent/Student age 13 or older)

How did you hear about our Afterschool Programs?

Phone Number (Parent/Student age 13 or older)

Date of Birth

Current Grade Level

T-shirt Size

Race/Ethnicity

Submitting Application for:
Unfortunately, we are no longer accepting applications for 2016 Fall Afterschool Programs at this time. Please be on the lookout for further details regarding 2017 Spring Programs soon.

Will you be applying for need-based financial aid?
 Yes No