Youth Programs Application
Wilmington (DE) Alumnae Chapter- Delta Sigma Theta Sorority, Inc

The information requested below is to be used by the Wilmington (DE) Alumnae Chapter of Delta Sigma Theta Sorority,
Inc. to determine interest in the programs below. Please complete all fields. Parent/guardian will be contacted via email
to complete the registration process.
Child's Name: *
Your answer
Gender *
Age *
Your answer
School *
Your answer
Grade *
Your answer
Parent/ Guardian Full Name *
Your answer
Phone Number: *
Your answer
Home Zip Code *
Your answer
Choose a program for the child named above: *
Please briefly state how your child would specifically benefit from the selected program
Your answer
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