Project Avary Online Group Preferences

Thank you for your continued interest in Project Avary, a community for children with incarcerated parents! This application is for youth who have already participated in our groups at least one time and are interested in returning again or for Avary outdoor participants who have been invited to attend an online session. For questions, please email claudia@projectavary.org and ollie@projectavary.org.

Participant Info

First Name

Last Name

Birthdate (mm/dd/yyyy)

Youth Pronouns

Pronouns

Please list after school/afternoon commitments (please include days and times)

Participant Address

Youth Street Address

City

State

Zip

County

Caregiver Details

Caregiver First Name

Caregiver Last Name

Caregiver Phone

Caregiver Email

Relationship to Youth

By providing your phone number, you agree to receive text messages from Project Avary. Message and data rates may apply. Message frequency varies. Reply STOP to cancel anytime. View our Terms of Service and Privacy Policy.

Primary Session Request

October 28-December 12, 2024January 20-February 27, 2025March 31-May 8, 2025August 2025 (TBD)October 2025 (TBD)

Select Any Additional Sessions

October 28-December 12, 2024January 20-February 27, 2025March 31-May 8, 2025August 2025 (TBD)October 2025 (TBD)

Preferred Day

Monday 5:30pm PTTuesday 5pm PTWednesday 6pm PTWednesday 6:30pm PTThursday 6pm PT

Select Any Additional Days

Monday 5:30pm PTTuesday 5pm PTWednesday 6pm PTWednesday 6:30pm PTThursday 6pm PT

Anything else you would like to share with us? Any updates on the youth since their last group?

Contact Information