2024 ICY Arts Summer Program Sign-Up Form
ICY Arts will host a Summer program from 9-am until 2 pm. From 9am until 2pm the camp is free for all families that qualify as free/reduced lunch. To register, please complete this form and bring a copy of your students' end of year report card to student orientation. For now, complete this form and a staff member will follow-up by May 31, 2024. 

Questions? Comments? Call (901)600-0341
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Email *
Parent Contact Name: *
Student Name:  *
Grade Level of Student:  *
Parent Contact Number: *
Community Organization Name: if this does not apply to you list "N/A" *
T-Shirt Size: ( youth sizes)  *
As a parent or intern, or community leader,  I'm interested in receiving OR providing the following services through ICY Arts  (click all that apply) *
Required
Emergency Contact Information: "Enter Name, Telephone Number and Address" *
Authorized Pickup(s)  List Names and Numbers of Adult(s) other than yourself who are authorized to pick your child up in the event you cannot. ( ICY Arts will not release your student to anyone that is not listed below.) *
Please list any medications and allergies:  *
My child receives free or reduced lunch. *
I understand that I need to bring my child's final report card from the 2023-2024 school year.  *
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