Dunta Robinson Foundation Registration Page

Name:

Email Address:

Phone:

Address:

Program of Interest

Champions Read (Virtual Book Club)

Summer Entrepreneurship Program (Business Building)

Chess & Community (Strategy and Community)

College Factory (SAT/ACT Prep)

3D CHAMPS (Youth Football)

Date of Birth

Media Release: I give permission for images of my child, captured during Project Rewire to be used solely for promotional purposes and waive any rights or ownership.

I Consent

I Do Not Consent

7 + 12 =

Project Rewire Registration