AR Girls Program - Sign Up Application
AR Girls Summer Workshop is a free and fun-filled two week hands-on design experience for teen girls.
AR Girls learn to use a cool AR (augmented reality) app to overlay graphics, videos, audio, even their own art, onto the real world. Girls will put their creativity and design skills to use to produce their own augmented reality (AR) experience to make their community aware of how to reduce waste - like food waste, fashion waste, and plastic waste.
No prior experience with digital art, design, or augmented reality is needed!

The program commitment is for the full two week session. Please fill out the application which is on a first come, first serve basis. A waitlist will be created should spots fill up.
Session *
Child
Girl's First Name *
Your answer
Middle Name
Your answer
Last Name *
Your answer
School name or homeschool *
Your answer
Upcoming Grade *
Birth date *
MM
/
DD
/
YYYY
Age (as of June 30, 2019) *
Your answer
Girl's Email Address
Your answer
Street address *
Your answer
Town/City *
Your answer
State *
Your answer
Zipcode *
Your answer
Girl's Home Phone *
Your answer
Parent/Guardian - Contact Information
Parent/Guardian #1
First Name *
Your answer
Last Name *
Your answer
Title *
Street Address *
Your answer
Town/City *
Your answer
State *
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Main Contact Email *
Your answer
Parent/Guardian #2
First Name
Your answer
Last Name
Your answer
Title
Street Address
Your answer
Town/City
Your answer
State
Your answer
Home Phone
Your answer
Cell Phone
Your answer
Email
Your answer
Child lives with *
Your answer
Person responsible for communication *
Your answer
Emergency Contact Information / Alternate Pickup/Release
Emergency Contact #1
First Name *
Your answer
Last Name *
Your answer
Home Phone
Your answer
Work Phone
Your answer
Cell Phone
Your answer
Email *
Your answer
Relation to child *
Your answer
Emergency Contact #2
First Name *
Your answer
Last Name *
Your answer
Home Phone
Your answer
Work Phone
Your answer
Cell Phone
Your answer
Email *
Your answer
Relation to child *
Your answer
Please list those people including in addition to parents/guardians who are permitted to pickup your child:
1
Your answer
2
Your answer
3
Your answer
Medical Release Information
Insurance Information
Policy Number *
Your answer
Name of Health Insurance Provider *
Your answer
Primary Physician *
Your answer
Address *
Your answer
Phone *
Your answer
Hospital Preference *
Your answer
Is your child presently being treated for an injury or sickness, or taking any form of medication for any reason? *
If yes, please explain
Your answer
Is your child allergic to any type of food or medication? *
If yes, please explain
Your answer
Does your child require a special diet? *
If yes, please explain
Your answer
Preferences
Girl's food preference - choose all that apply: *
Required
What kinds of art does your girl currently enjoy making? Choose all that apply: *
Required
AR Girls is a 2 week daylong in-person summer design and communication program for girls 11-16. The experience culminates with a Community Showcase event on the Saturday directly after the end of the two weeks. This showcase is planned and led by the girls to show off their interactive art products. Throughout the two weeks, girls learn and explore how to use a cool augmented reality (AR) app to overlay graphics, videos, audio, even their own art, onto the real world. They'll work collaboratively to produce their own augmented reality (AR) experience to make our community aware of how to reduce waste - like food waste, fashion waste, and plastic waste. AR Girls will also learn about related Maine-based careers. Do you commit to involving your daughter the full summer program? *
How did you hear about AR Girls?
Your answer
What do you hope your girl will get out of participating in the AR Girls program? *
Your answer
Release
Please initial each of the following:
I understand that I will be notified in the case of a medical emergency involving my child. In the event that I cannot be reached, I authorize a doctor to be contacted and provided with the necessary medical information. I also authorize the doctor to provide the necessary medical services in the event my child is injured or becomes ill. *
Your answer
AR Girls and its co-organizers are not responsible for lost or damaged personal property. *
Your answer
We require a 2-week notice for cancellation of the participation in the program. A fee may be assessed if we cannot fill the spot. *
Your answer
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