Project Avary Enrollment ApplicationReferral Form

Program Website: Project Avary

Thank you for your interest in Project Avary, a community for children with current or formerly incarcerated parents (prison, jail, detainment). To learn more about the program, please fill out the questions below. We will contact the caregiver within a few days of receiving your application. *If you are not a caregiver (third party) and would like to refer a youth to our program, please let the family know that you submitted this referral before we contact them. If you have any questions, please email our Program Coordinator, Ollie, at ollie@projectavary.org.

Avary

Phone

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Does the youth meet the following criteria (Please check all that apply)

The youth has a parent who is or was incarceratedThe youth is between the ages of 8-18 years oldThe youth does not meet some of the above criteria, but I would still like them to be considered. (Youth are enrolled on a case-by-case basis). Please call/text 707-285-7117 or email ollie@projectavary.org if you have questions before filling out this form.