School Based Programs Interest Request 2020-21

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The Y is here for kids and families.

The Y remains steadfast in our commitment to providing school solutions that ensure kids have enrichment opportunities, a safe and supportive place to connect, and access to their virtual learning classrooms. 

Please fill out the form below to stay up-to-date throughout the year as we move from distance to in-person school support and enrichment programs. 

Student’s Information

Please provide information for your student(s) so we can place you on the appropriate interest lists. Student one's information is required. If more than two students, please provide additional information in the message box at the bottom of this form.

Student One

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Student Two (Optional)

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Contact Information

Please provide the contact information of the parent or guardian of the students(s). All fields are required.

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Leave a Message

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