2021-2022 GEO PREP  WHIZ KIDS AFTERSCHOOL APPLICATION
Dear Parents/Guardians,

This is an application for first semester enrollment in the Whiz Kids Afterschool program which will take place IN PERSON (unless local, state, or federal authorities advise otherwise).  

You must complete and submit this application for your child's chance to participate. YOU WILL BE NOTIFIED VIA EMAIL IF YOUR CHILD HAS BEEN ACCEPTED TO ATTEND. For more information about the program, email Site Coordinator Monique LeFlore-Collins at mleflore@geoacademies.org.

PROGRAM DETAILS
Dates: Mondays through Fridays
Time: 3:30 pm - 5:15 pm
Eligible Applicants: 3rd - 8th grade Geo Prep Mid-City students
Location: Geo Prep Mid-City

ABOUT UREC
Urban Restoration Enhancement Corporation’s Whiz Kids Afterschool program is a 21st Century Community Learning Center offered in partnership with GEO Prep Mid-City. Learn more at www.urecbr.com.

Sign in to Google to save your progress. Learn more
Student's First Name *
Student's Last Name *
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Race (Please check all that apply.) *
Required
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy