Arts In Reach Application
Teen Participant Information
Home Phone #
Home Mailing Address (Street, City, State, Zip Code)
Participant Cell Phone #
School Participant Attends
Date of Birth
Current Grade (For summer programs please enter the grade you will begin in September.)
Which AIR program are you applying to?
Is this your first AIR program?
How did you find out about AIR?
Please tell us why you would like to attend this AIR program:
List other school activities, hobbies, and favorite things to do:
Will you need help with transportation?
Would a parent/guardian be able to help carpool?
If you need help with transportation, which one of our van stops would work best for you?
Newington Barnes & NOble
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This form was created inside of Arts In Reach: Encouraging Growth Through the Arts.