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Home › Project ALERTA › Register › Sign up for Summer Program 2013
Please fill out all of the info below so that we can send you the application materials as soon as possible. Remember that the deadline is May 31st. Thank you!
First Name:*
Last Name:*
Home Phone:*
Cell Phone:*
Email:*
Address:*
City:*
State:* Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip:*
Current Grade:* Select 3 4 5
Current School:
More Children?*
Current Grade: Select 3 4 5
How did you hear about us?*
How do you prefer we send you the application materials?*
Comments:
Do you have a child who will complete a grade 6-12 by this June and who would be interested in the TAG Summer Program at UMass Boston? This is ALERTA's sister program. The program hours are also 9am-2pm.*