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Summer 2025 Program Interest Form (This is not an application)
If you would like to view this form in a different language, please select from those available in the drop down. All re
sponses must be in English.
I am interested in participating in Summer 2025 programs.
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
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Home
Mobile
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Work
Parent/Caregiver
Personal Email
Home Address
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Borough
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Bronx
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Other:
State
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New York
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Postal Code
Preferred language to receive communication from The Fresh Air Fund:
Please select...
English
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Other Language:
At least one of my children has already participated in a Fresh Air Fund program.
Yes
No
Number of children
between the ages of 8 and 15 who
participate or would like to participate in Fresh Air programs:
Please select...
1
2
3
4
5
6
7
8
9
10
To participate in Summer 2025 programs, children must be at least 8 years old on July 1, 2025. Children who will be 18 years old on July 1, 2025 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
Please select...
8
9
10
11
12
13
14
15
16
17
Gender
Please select...
Male
Female
Prefer to self describe
Please Specify
Relationship to Parent/Caregiver
2nd Child
First Name
Last Name
Date of Birth
Current Age
Please select...
8
9
10
11
12
13
14
15
16
17
Gender
Please select...
Male
Female
Prefer to self describe
Please specify
Relationship to Parent/Caregiver
3rd Child
First Name
Last Name
Date of Birth
Current Age
Please select...
8
9
10
11
12
13
14
15
16
17
Gender
Please select...
Male
Female
Prefer to self describe
Please specify
Relationship to Parent/Caregiver
4th Child
First Name
Last Name
Date of Birth
Current Age
Please select...
8
9
10
11
12
13
14
15
16
17
Gender
Please select...
Male
Female
Prefer to self describe
Please specify
Relationship to Parent/Caregiver
5th Child
First Name
Last Name
Date of Birth
Current Age
Please select...
8
9
10
11
12
13
14
15
16
17
Gender
Please select...
Male
Female
Prefer to self describe
Please specify
Relationship to Parent/Caregiver
6th Child
First Name
Last Name
Date of Birth
Current Age
Please select...
8
9
10
11
12
13
14
15
16
17
Gender
Please select...
Male
Female
Prefer to self describe
Please specify
Relationship to Parent/Caregiver
7th Child
First Name
Last Name
Date of Birth
Current Age
Please select...
8
9
10
11
12
13
14
15
16
17
Gender
Please select...
Male
Female
Prefer to self describe
Please specify
Relationship to Parent/Caregiver
8th Child
First Name
Last Name
Date of Birth
Current Age
Please select...
8
9
10
11
12
13
14
15
16
17
Gender
Please select...
Male
Female
Prefer to self describe
Please specify
Relationship to Parent/Caregiver
9th Child
First Name
Last Name
Date of Birth
Current Age
Please select...
8
9
10
11
12
13
14
15
16
17
Gender
Please select...
Male
Female
Prefer to self describe
Please specify
Relationship to Parent/Caregiver
10th Child
First Name
Last Name
Date of Birth
Current Age
Please select...
8
9
10
11
12
13
14
15
16
17
Gender
Please select...
Male
Female
Prefer to self describe
Please specify
Relationship to Parent/Caregiver
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If your contact number or email address changes, please contact our team to provide an updated number or email address.