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After School Program: EMOC

After School Program

We will be offering Emergent Males of Color programs after school this year.

EMOC will meet Wednesdays and Fridays from 3:45 pm to 4:30 pm. We will provide snacks and a small meal for students.

Please complete the form below giving permission for your child to participate in the program.

First Name*

Answer Required

Last Name*

Answer Required

Grade*

Answer Required

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Parent / Guardian: First Name and Last Name*

Answer Required

Parent / Guardian: Email*

Answer Required

Parent / Guardian: Phone*

Number Required

Who will be picking up your child?

Answer Required

I give permission for my child to attend the Emergent Men of Color program.*

Answer Required

Confirmation Email

Confirmation Email *

Email Required