2023 Wayne-Westland Bright Futures After-School Program Interest Form

Bright Futures After-School Program Interest Form
EMU Bright Futures is a grant-funded after-school program that serves 12 schools in the Wayne-Westland district, 8 schools in the Ypsilanti Community School district, and 2 schools in the Romulus Community School District. (see below for schools served). Our program runs 2 1/2 hours a day, Mondays through Thursdays, immediately after-school. We offer fun and enriching clubs, homework help, and academic enrichment. Bright Futures is a free program.
Please fill out this form if you are interested in learning more about our after-school programs! This is an Interest Form only, and DOES NOT register any students for Bright Futures programming. We do have a limited capacity for each school.
Student Name*

First NameLast Name
School (for 2024-2025 school year)*
Please note that unfortunately we cannot enroll students who attend schools that are not listed.
2024-2025 Grade*
Our elementary programs are open to students in grades 2-5.
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
May we text this number?*

YesNo
Parent/Guardian Email*
example@example.com
Is your student currently enrolled in Bright Futures?

YesNo
Should be Empty:

Bright Futures After-School Program Interest Form