2023 Afternoon Artists - HEARTS

Please fill in and submit this form for the
2023 Afternoon Artists program lottery.

Please register by December 21, 2022

You will be notified by December 24, 2022 if you have been selected to participate.

Thanks to a grant from HEARTS PW and
sponsorship from Michele Garfield and Sandy Wiener,
there is NO COST to participate in this program.

* Indicates required field

Student Name *

First

Last

Parent's Name *

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Last

Parent Email *

Parent Phone Number *

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