2019 Summer Connect Community Sign-Up
Thank you for leading a Summer Connect community! Please fill out as much information as you currently have. We want people to be able to find the location closest to them.

Registering your Community location helps us make sure you have access to all Summer Connect materials and can serve you throughout the summer. Someone from the Summer Connect team will contact you to make sure you have everything you need to succeed.

Community Name (State Abbreviation - School or City, ex: CA - San Jose) *
Your answer
Community City
Your answer
Community State (2 letter Abbreviation)
Your answer
What school schedule are you on? *
Leader 1 Name *
Your answer
Leader 1 Email *
Your answer
Leader 1 Phone Number (xxx-xxx-xxxx) *
Your answer
Leader 2 Name (Optional)
Your answer
Leader 2 Email (Optional)
Your answer
Leader 2 Phone Number (Optional) (xxx-xxx-xxxx)
Your answer
Notes about your location (Meeting location/time, any other helpful info)
Your answer
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