Please complete the form below for each student applying to participate in an Afterschool Program.
Children’s Online Privacy Protection Notice
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
6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeCompleted 12th Grade
White/CaucasianBlack/African-AmericanHispanic/LatinoAsianNative Hawaiian/Pacific IslanderAmerican Indian/Alaska Native2 or more races/Mixed-raceOther
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