2019 pARTicipate Summer Sessions Registration Form
Please fill out the following information for the program participant (student attending the sessions).

Registration Steps:
1) Complete the online registration form below.
2) Pay Invoice received via email, OR for scholarship recipients accept award by responding to award email.
3) Receive confirmation email and return required forms.

Participant Information
Participant First Name *
Your answer
Participant Last Name *
Your answer
Participant Date of Birth *
MM
/
DD
/
YYYY
Name of school pARTicipant attends *
Your answer
Grade pARTicipant will enter fall of 2019 *
Your answer
Preferred Gendered Pronouns *
Ethnicity/Race *
How did you hear about the pARTicipate Summer Sessions? *
Your answer
Did you attend a previous pARTicipate Summer Session? *
Parent/Guardian Information
Please fill out the following information for the participant's guardian and emergency contact.
Parent/Guardian First Name *
Your answer
Parent/Guardian Last Name *
Your answer
Phone Number *
Your answer
Mailing Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Email Address *
Your answer
In the event of an emergency and participant's parent/guardian cannot be reached who should we contact? *
Please include name, relationship to participant and phone number.
Your answer
Session Information
3rd - 5th Grade Session
SOY ARTISTA: An Introduction to Multidisciplinary Artmaking

6th - 8th Grade Session
ENGINEERS & ARTISTS UNITE!: Connecting the Dots Between Art & Science

Which Summer Session are you signing up for? *
SAY Sí provides before/after care for an additional charge of $50 for the week. With this fee, students can arrive as early as 8:30am and stay as late as 4:30pm. Does the student require before/after care? *
SAY Sí can only offer a limited number pARTicipate scholarships based on need and availability. Do you require a scholarship to be able to attend pARTicipate Summer Sessions? *
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