Arts In Reach Program Application
Email address *
Full Name of Applicant *
Your answer
Participant Home Phone #
Your answer
Home Mailing Address (please include town) *
(street, city, state, zip code)
Your answer
Participant Cell Phone #
Your answer
Participant Email
Your answer
Participant attends school at *
Your answer
Current age *
Your answer
Current Grade *
Your answer
DOB *
mm/dd/yyyy
Your answer
Which AIR Program are you applying for? *
If more than one, please list your preference
Your answer
Please tell us why you would like to attend AIR and why you chose the program you noted above. *
Your answer
Please tell us about your other school activities, hobbies, and favorite things to do. *
Your answer
Will you need help with transportation?
Would a parent/guardian be willing to carpool?
Is this your first AIR program?
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