E.M.B.O.D.I, Delta G.E.M.S. and Delta Academy 2020-2021
Please complete this form so that we may send additional information about participating in our year-long youth programs! We meet every 1st Saturday of the month, via zoom!

Please feel free to share with others who may be interested!
Email address *
Youth Programs *
Please select which program you are interested in for your child(ren). You may select multiple!
Child(s) Full Name and age *
If more than one child, please list their full name, age and program they would like to participate in
Parent(s)/Guardian(s) Full Name *
Cell Phone Number
Home Phone Number
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