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MEP Fall After School Program Registration

Interested in our Virtual Classes? Register with us via the form below and we'll get back to you as soon as possible! (Please use a separate registration for each child wanting to attend a class

Parent's First Name Last Name*

Email Address*

Contact Phone Number*

Child's First Name *

Child's Age*

Any Special Need Requirements?*

How Many Children (under 18) In Household*

Can You Volunteer During School Year?*

Do you want to apply for a scholarship to purchase the STEM KIT ($300)*

Class*

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