826michigan's Detroit After-school Tutoring Interest Survey 2016-17
Thank you for your interest in registering your student for 826michigan's FREE Detroit After-School Tutoring (DAST) program. Please fill out the form below with information about you and your student, and we will contact you with further steps as soon as possible.

This form does not fully register a student for our after-school tutoring program. Upon completion of this form, your student will be added to a waitlist, and then you will be contacted once there is an open spot for your student to attend the program.

Parent/guardian/caretaker name
Your answer
Parent/guardian/caretaker email
Your answer
Parent/guardian/caretaker phone number
Your answer
Student name
Your answer
Student date of birth
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/
DD
/
YYYY
Student school
Your answer
Are you planning to enroll multiple students in this program?
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