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IF YOU HAVE MORE THAN ONE EVENT TO REGISTER, PLEASE CLICK HERE.

On October 16, 2008, thousands of afterschool programs in communities nationwide will celebrate Lights On Afterschool! Be a part of this effort to showcase the importance of afterschool programs and underscore the need for quality afterschool programs for all children.

NOTE: Your program and contact information will be listed on this site's "Find a Lights On! Event" page.

* Indicates required fields. Please leave blank any non-required fileds for which you do not have and/or wish to provide an answer


Contact Information:

Salutation:

First: * M.I.:

Last:

* Suffix:

Title:


Email:

*

W. Phone:

* Ph. Extension: Fax:

Program/Organization:

*

Program Address 1:

*

Program Address 2:

City:

* State: * Zip: *

Website:

(please use the form " http://www.yoursite.org ")

At our event on October 16, we plan to:


Check boxes below if you plan to invite:

Mayor

Governor

Superintendent

Member of U.S. Congress

State Legislator

Other Community Leader(s) (fill-in blank below)

Program Information:

National Affiliation:
4-H Afterschool
Boys & Girls Club of America
Junior Achievement
After-School All-Stars
YMCA of the USA
La Petite Academy
Other:

Number of years program has been operating:



Number of students in program:

Check the types of activities your program offers:
homework help
sports and recreation
art/drama/dance/music
academic enrichment
literacy/reading
math/science/technology
mentoring
college/career preparation
drug/alcohol/violence prevention
community service
life skills

Funding Sources (check all that apply):
21st CCLC
federal government (not 21st CCLC)
state government (not 21st CCLC)
business
local government
foundation/non-profit
program fees

Where did you hear about Lights On Afterschool?


*-It takes a moment for your registration to be processed, so please do not click the button more than once. A confirmation email will arrive in your mailbox shortly. Thank you!

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