Stop the Wait RI Programming Interest Form

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Thank you for your interest. Please fill out this form and we will contact you with more information once we are enrolling for classes! Follow us on social media @stopthewaitri.

Gracias por tu interés. Por favor, completa este formulario y te contactaremos con más información una vez que estemos inscribiendo para clases. ¡Síguenos en las redes sociales @stopthewaitri!

Email *

First Name/Nombre

Last Name/Apellido

Email address/Correo electrónico

Phone number/Número de Teléfono*

Do you require childcare?/¿Necesitas cuidado infantil?

Yes

Clear selection

Which classes are you interested in? / ¿En qué clases estás interesado? *

Literacy Program / Programa de Alfabetización.

Parent Academy / Academia para Padres

Food Pantry / Despensa de Alimentos

Parent Advisory Council (PAC) / Consejo Consultivo de Padres

Parent Education Policy (PEP) / Política de Educación para Padres

Required

Daytime/Día

Evening/Tarde

Monday/ Lunes

Tuesday/Martes

Wenesday/Miércoles

Thursday/Jueves

Friday/ Viernes

Saturday/Sábado

Sunday/Domingo

Clear selection

Questions or comments:/ Preguntas or comentarios:

How did you hear about Stop the Wait/¿Cómo usted se enteró de Stop the Wait?

Friend/Amigo(a)

Live in the neighborhood/Vive en el vecindario

Social Media/Website

Other

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Send me a copy of my responses.

Submit

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