_test Register - Mississippi Afterschool Network

First name

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Last name

Email *

Phone

Title

Organization / Company

Website

Do you have an after school program?

Street Address

Address Line 2

City

State

Zip Code

How would you describe yourself?

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Where did you hear about the program?

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Would you like to receive newsletters, afterschool alerts, and updates?

Permission to share your information

From time to time, MSAN may share contact information with organizations of similar mission on a one-time basis if the material is deemed by the MSAN to be appropriate and of interest to those concerned with after school issues. Would you like your information to be shared?

Password *

I have read and accept the privacy policy and allow "Mississippi Afterschool Network" to collect and store the data I submit through this form. *

ABOUT MSAN

The Mississippi Statewide Afterschool Network works to better our state and its communities by connecting providers, parents and policymakers with proven tools and resources to increase the quality of and access to out-of-school time programming for K-12 children and youth.

Learn More About MSAN