Fresh Air Summer Interest Form | The Fresh Air Fund

Summer 2024 Program Interest Form (This is not an application)

The child application will be available and open to new families as of Tuesday, January 16th 2024.

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 2024 Program Offerings!

How did you learn about The Fresh Air Fund? Please specify:

Parent/Caregiver Information

Parent/Caregiver First Name

Parent/Caregiver Last Name

Parent/Caregiver Mobile Phone

Please enter a number we can text message.

Parent/Caregiver Other Phone

Other Phone Type

Parent/Caregiver Personal Email

Home Address

City

Borough

Other:

State

Other State

Postal Code

Preferred language to receive communication from The Fresh Air Fund:

Other Language:

At least one of my children has already participated in a Fresh Air Fund program.

YesNo

I am interested in: (check all that apply)

Sleepaway CampFriendly Towns - Host Family Program

Number of children between the ages of 8 and 15 who participate or would like to participate in Fresh Air programs:

To participate in Summer 2024 programs, children must be at least 8 years old on July 1, 2024. Children who will be 18 years old on July 1, 2024 will be eligible to apply for one of our summer employment opportunities. Please visit https://freshair.org/join-our-team/ to learn more about open positions.

1st Child

First Name

Last Name

Date of Birth

Current Age

Gender

Please Specify

Relationship to Parent/Caregiver

2nd Child

First Name

Last Name

Date of Birth

Current Age

Gender

Please specify

Relationship to Parent/Caregiver

3rd Child

First Name

Last Name

Date of Birth

Current Age

Gender

Please specify

Relationship to Parent/Caregiver

4th Child

First Name

Last Name

Date of Birth

Current Age

Gender

Please specify

Relationship to Parent/Caregiver

5th Child

First Name

Last Name

Date of Birth

Current Age

Gender

Please specify

Relationship to Parent/Caregiver

6th Child

First Name

Last Name

Date of Birth

Current Age

Gender

Please specify

Relationship to Parent/Caregiver

7th Child

First Name

Last Name

Date of Birth

Current Age

Gender

Please specify

Relationship to Parent/Caregiver

8th Child

First Name

Last Name

Date of Birth

Current Age

Gender

Please specify

Relationship to Parent/Caregiver

9th Child

First Name

Last Name

Date of Birth

Current Age

Gender

Please specify

Relationship to Parent/Caregiver

10th Child

First Name

Last Name

Date of Birth

Current Age

Gender

Please specify

Relationship to Parent/Caregiver

By giving us your email and phone number, you consent to receive email, text, and phone calls from The Fresh Air Fund regarding your program interests. Message & data rates may apply. Unsubscribe at any time by replying STOP or clicking the unsubscribe link (where available).

I agree

If your contact number or email address changes, please contact our team to provide an updated number or email address.