Parent/guardian first name*
 
 
 
 
Parent/guardian last name*
 
 
 
 
Email*
 
 
 
 
Phone Number*
 
 
 
 
Preferred Contact Method
 
 
 
County*
 
 
 
 
ZIP Code*
 
 
 
 
What school does your child(ren) attend? If attending a new school next year, list both.
 
 
 
 
How many children in your household will be entering kindergarten through 10th grade in the fall of 2026?
 
 
 
 
Which grade(s) will your children be entering in the fall of 2026? Please select all that apply.
 
 
 
How can we help you?
 
 
 
 
I agree to United Way’s terms and conditions (visit the link below to read more) and that United Way and other Summer Discovery partner and provider organizations may contact me about Summer Discovery and other opportunities.*
 
 
 
 

Visit UnitedWaySEM.org/about-us/policies to learn more.