Afterschool Alliance :: Join Afterschool for All

Welcome to the Youth Afterschool for All Challenge registration page! We are excited that you are planning to attend the Afterschool for All Challenge on April 19-21 in Washington D.C.

April 19-21, 2010
REGISTRATION FORM

Youth and Adult chaperone registration is $75.

If you have problems using this form, please contact us at (202) 347-2030 or email challenge@afterschoolalliance.org.

YES, I WILL BE A CHAPERONE FOR THE AFTERSCHOOL FOR ALL CHALLENGE APRIL 19-21!

Prefix:

First Name:

M.I.:

Last Name:

(if you are NOT already registered as a Participant in the NAA/Afterschool Alliance Afterschool for All Challenge, please provide your contact information. IF you are already registered as a Participant, please skip to the blue section below.)

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Title:

Organization:

Address (line 1):

(line 2):

City:

State:

Zip:

Email:

Work Phone:

Ph. Extension:

Work Fax:

I am already registered as a Participant in the NAA/AA Afterschool for All Challenge Yes No If you answered 'No' (you are not attending the NAA/AA Challenge/conference as a full participant) please enter the name of an already registered participant associated with your group/program. NAA/AA Challenge Participant Full Name:

How many youth attendees in your party? All youth participants must complete and submit a photo permission form. Click to download.

If you have questions or need assistance with this form, please email challenge@afterschoolalliance.org