If we can not reach you through preferred method of contact we will reach out through facebook
The next following questions are used to help fund the programs at the South Franklin Community Center. All information that is given will be confidential.
Native American or Alaskan Native
African American
Hispanic or Latino
Native Hawaiian/ Pacific Islanders
Asian
African Nationals/ Caribbean Islanders
Middle Eastern
White (Non Hispanic/European American)
Other
$0-$10,000
$10,001-$20,000
$20,001-$30,000
$30,001-$40,000
$40,001-$50,000
More than $50,000
Elemenatry of junior high school
Some high school
High school dimploma or GED
Trade/Vocational Training
2-year college degree (Associates)
4-yeay college degree (Bachelor's)
Master's degree
PhD or other advanced degree
Single
Partnered
Married
Divorced
Widowed
Seperated
Prefer not to say
Elementary or junior high school
High school diploma or GED
Trade or Vocation training
Some college
4-year college degree (Bachelors)
Masters degree
*Please provide an emergency contact that is local*
Yes
No
Yes, but they will not be participating in South Franklin programs
South Franklin Code of Conduct
South Franklin Liability Agreement
I agree to allow use of my image and/or that of the named minor(s), which may be captured through video, photo, digital camera or other media, for South Franklin Community Center promotional materials and publications. I have had all my questions answered to my satisfaction, and I voluntarily agree to participate and/or let my child participate in an activity at the South Franklin Community Center.
I agree
I disagree
The community center is now holding all programs virtually.If you or a loved one needs support, please dial 2-1-1 or visit 211utah.org.