Yes! I would like to become a member of the Rhode Island Afterschool Plus Alliance!

Name:
Title:
Organization:
Address:
City, State, Zip: 
Phone:
Email:
Fax:
 
Is this an afterschool program?
yes     no



How would you describe yourself?
 Afterschool Program Provider
 Volunteer
 Citizen
 Business Organization
 Educator
 Parent
 Youth
 Elected Official
 Funder
 Other      

 

If you are unable to join the Alliance, but would like to receive our periodic e-newsletter, or if you know someone who would be interested in our e-newsletter, please indicate here:
Sign me up for the e-newsletter

 Sign a friend upE-mail:   

 

I’d like the Alliance to address the following: