McAuliffe Center Program Request Form
Name *
Your answer
School / Organization Name *
Your answer
Address *
Your answer
State *
Your answer
Zip/ Postal Code *
Your answer
Email *
Your answer
What program are you interested in? *
Number of Students *
Your answer
Type of Group *
What month(s) are you interested in? *
Required
Out of School Time and After Hour programs
Please Note: The programs for Out-of-School Time and Community groups are offered on Wenesdays or Thursdays after 2:00pm. We also offer programs on the First or Second Saturday of each month. Programs beginning after 4:00 and on weekends have an increased price.
What grade are your students *
Required
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