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After-School Program Request Form
After-School Program Request Form
Contact Information
School or organization name:
Contact name:
Position:
Phone number:
Email address:
Program Information
Does your school currently offer any after-school enrichment?:
If so, are your classes paid for by the parents or the school? :
When would you like to offer classes?
Fall
Winter
Spring
No Preference
Approximately how many students attend your school in grades K-6?:
Additional Requests & Comments
Use the box below to give us any other pertinent information.
Comments:
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