Fresh Air Summer Interest Form

Thank you for your interest in Fresh Air fund 2022 summer programs. Please complete the form below.

Summer 2022 Program Interest Form

If you would like to view this form in a different language please select from those available in the drop down.  All responses must be in English.
I am interested in learning more about Summer 2022 Program Offerings!
Parent/Caregiver Information

Please enter a number we can text message.

To participate in Summer 2022 programs, children must be at least 5 years old on July 5, 2022. Children who will be 18 years old on July 5 will be eligible to apply for one of our summer employment opportunities. Please visit to learn more about open positions.
1st Child

2nd Child

3rd Child

4th Child

5th Child

6th Child

7th Child

8th Child

9th Child

10th Child