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School Authorization form
Please fill in and submit this form for the
2024 Afternoon Artists program lottery.
REGISTRATION DEADLINE EXTENDED TO THURSDAY, FEBRUARY 8, 2024
You will be notified on or about February 11, 2024 if you have been selected to participate.
This is open to 4th and 5th graders,
with priority given to 5th graders.
Each class has limited capacity.
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
*
First
Last
Parent Email
*
Parent Phone Number
*
School
*
Guggenheim
Daly
Salem
Sousa
Manorhaven
Grade
*
Fourth Grade
Fifth Grade
I agree to receiving marketing and promotional materials
Submit