Carver Community Center Afterschool Program & Bridges Outreach Partnership
Carver Community Center offers a dynamic afterschool program for K-5 students, providing a safe, engaging, and enriching space with activities like snack time, art, tutoring, robotics, chess, video gaming, instrument lessons, open gym, and dance. A membership is required to attend. Bridges Outreach Partnership We’re proud to partner with Bridges Outreach, a faith-based organization focused on academic support and character development. Bridges has served Kokomo Schools for 20 years, reaching over 500 students annually. Bridges Programming: Tuesdays & Thursdays Special Events: Students with good attendance and behavior may qualify for Friday or Saturday outings with safe transportation. Parent Authorization: Parents allow Bridges access to academic information for student support. A Typical Day at Bridges Welcome & Announcements Snack & Life Lessons Games, Reading & Homework Support Free Time (Gym, Games, Hobbies) For more info, contact Carver (765-457-9318, kokomocarver@gmail.com)
Parent/ Guardian Name
Phone Number
Email
Address
Students Name
Gender
Male
Female
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Other
Program Interest
Afterschool Program
Open Gym
Music
Financial Literacy
Robotics
Dance
Chess Club
Tutoring
Gardening
Video Gaming
Other
School Name
Grade?
Race / Ethnicity / Language
English
Spanish
Chinese
Russian
French
Other
Emergency Contact
Phone Number
Emergency Contact Name
Phone Number
Medical Information (N/A if none)
Photo Release Permission
Yes, I give consent
No, I do not give consent
HouseHold Income
$0-$10,000
$15,000-$19,000
$25,000-$29,000
$35,000-$39,000
$45,000-$49,000
$55,000-$59,000
$65,000-$74,999
$100,000-$149,999
Prefer not to say
I consent to Carver’s use of photographs or likeness for promotional materials.
I release Carver Community Center, its board, staff, or volunteers from liability in event of accident or injury.
I consent for my child(ren) to participate in Carver programs.
I give permission for my child(ren) to use the internet.
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