Contact information
2020-2021 21st CCLC Project SMART Application
Project SMART is an after-school and summer program that provides academic and enrichment activities.
Email *
Student Name (Last, First) *
Date of Birth *
MM
/
DD
/
YYYY
Grade Level *
Female or Male *
Race *
Parent/Guardian Name *
Address *
City
Zip Code
Phone number-This number will be used for Remind messages. *
Signature-I would like to enroll my child in Scarborough's 21st CCLC Project SMART program. I understand that the program is virtual until students return to school. Type Your First and Last Name *
A copy of your responses will be emailed to the address you provided.
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