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Does your teen participate in After School Matters programs? Are you a Chicago parent who is interested in learning more about After School Matters? Please take a moment to complete this form so we can provide you with important updates about the impact of our programs and new developments in our organization. You will also be signed up to receive our semi-annual e-newsletter - The After School Matters Advocate.

First Name: *

Last Name: *

Email Address: *

Home Phone:

Cell Phone:

Mailing Address:

Unit/Apartment #:

City:

State:

Zip Code:

Your teen's name:

Your teen's age:

Your teen is currently:

A high school teen in an After School Matters program

A CPS high school teen not in an After School Matters program, but interested in getting involved

A former participant of an After School Matters program

A CPS student younger than high school age

Other

If you selected "other" please explain:

If your teen is currently in high school, which school do they attend?:

Which After School Matters program(s) has your teen participated in?:

If your teen has participated in After School Matters, what positive effects did their program(s) have on them and your family?:

Why do you believe that After School "Matters"?:

Please enter any additional comments here:

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