Afterschool Alliance :: Lights On Registration 2010

On October 21, 2010, 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: *
Last:	*
Title:
Email:	*
W. Phone:	* Fax:

Program/Organization:	*
Program Address:	*
City:	* State: * Zip: *
Website:	(please use the form " http://www.yoursite.org ")

At our event on October 21, we plan to:

We plan to invite: (select all that apply, use Ctrl to multi-select)

If you selected "Other Community Leader(s)", please specify:

Program Information:
National Affiliation: If "Other", please specify: Number of years program has been operating: Number of students in program:	Select the types of activities your program offers: (select all that apply, use Ctrl to multi-select)
Funding Sources: (select all that apply, use Ctrl to multi-select)	*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!

Register for Lights On Afterschool 2010!