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2021-11-09T14:25:34-06:00
COA Contact Form
Name
(Required)
First
Last
Phone
(Required)
Email
(Required)
Which COA Program are you Interested In?
(Required)
Early Child Education / Daycare (Children ages 0-6)
HIPPY (Home Instruction for Parents of Preschool Youngsters)
Youth Development/Afterschool Programs (Children Ages 6-18)
Community Learning Centers
Amani Food Pantry & Resource Center
Riverwest Family Resource Center (Parents/Guardians and Children Ages 0-5)
Camp Helen Brachman
Location
(Required)
I am seeking Early Child Education/Daycare in the Riverwest Neighborhood
I am seeking Early Child Education/Daycare in the Amani Neighborhood
Location
(Required)
I am seeking Youth Development/Afterschool programs in the Riverwest Neighborhood
I am seeking Youth Development/Afterschool Programs in the Amani Neighborhood
How old is your child?
(Required)
Location
(Required)
I am interested in the Auer Avenue School CLC
I am interested in the Doerfler School CLC
I am interested in the Hopkins Lloyd School CLC
I am interested in the Lincoln Center of the Arts CLC
I am interested in the O.W. Holmes School CLC
I am interested in the Westside Academy CLC
Early Child Education - Riverwest
(Required)
Yes, I would like to contacted by COA's Riverwest Early Education Center
Please select this choice and submit the form to be contacted by our Riverwest Early Education Center. We will give you more information on our Early Education program and help you get started.
Early Child Education - Amani
(Required)
Yes, I would like to contacted by COA's Early Education Center in Amani
Please select this choice and submit the form to be contacted by our Early Education Center in Amani. We will give you more information on our Early Education program and help you get started.
Home Instruction for Parents of Preschool Youngsters (HIPPY)
(Required)
Yes, I would like to contacted by COA's HIPPY Program
Please select this choice and submit the form to be contacted by our HIPPY Home Instruction Program. We will give you more information on the program and help you get started.
Youth Development - Riverwest
(Required)
Yes, I would like to contacted by COA's Youth Development Program in Riverwest
Please select this choice and submit the form to be contacted by our Youth Development Program in Riverwest. We will give you more information on the program and help you get started.
Youth Development - Amani
(Required)
Yes, I would like to contacted by COA's Youth Development Program in Amani
Please select this choice and submit the form to be contacted by our Youth Development Program in Amani. We will give you more information on the program and help you get started.
Community Learning Centers
(Required)
Yes, I would like to contacted by COA's Community Learning Centers
Please select this choice and submit the form to be contacted by our Community Learning Center after school program. We will give you more information on the program at your selected location and help you get started.
Food Pantry & Resource Center - Amani
(Required)
Yes, I would like to contacted by COA's Food Pantry
Please select this choice and submit the form to be contacted by our Amani Food Pantry. We will give you more information on the program and help you get started. Food pantry hours are: Monday 10:00 am – 1:00 pm, Wednesday 3:00 pm – 6:00 pm, Saturday 9:00 am -12:00 pm
Family Resource Center - Riverwest
(Required)
Yes, I would like to contacted by COA's Family Resource Center
Please select this choice and submit the form to be contacted by our Family Resource Center. We will give you more information on the program and help you get started.
Camp Helen Brachman
(Required)
Yes, I would like to contacted by COA's Camp Helen Brachman
Please select this choice and submit the form to be contacted by COA's Camp Helen Brachman. We will give you more information on the program and help you get started.
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