Thank you for completing the Albany Summer Collective 2026 Global Enrollment Form.

This form should be completed by a parent/guardian, participant, or provider assisting the family. The information collected will be used for enrollment, program placement, scholarship review, demographic reporting, attendance tracking, referrals, and evaluation of the Albany Summer Collective.

Individual students will not be publicly identified in reports.

After this form is submitted, United Way or the evaluation team will assign each participant a Unique Participant ID. Families do not need to create this ID. The ID will connect enrollment, attendance, assessments, surveys, referrals, and outcomes while helping prevent duplicate counts across programs.

Important: Please complete one separate Global Enrollment Form for each child. If you are enrolling more than one child, submit this form for the first child, then return to this same link or scan the QR code again to complete the form for each additional child.

Because the Custom thank you page is off and may require an upgrade, just place the instruction at the top of the form where families will see it before starting.
Section 1: Participant Information

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* 1. Participant First Name

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* 2. Participant Last Name

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* 3. Date of Birth

Date

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* 4. Grade Entering in Fall 2026

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* 5. Current or Most Recent School Attended

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* 6. Has the participant attended a summer program before?

Parent / Guardian Contact Information

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* 7. Parent/Guardian First and Last Name

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* 8. Relationship of Person Completing This Form to the Participant

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* 9. Parent/Guardian Phone Number

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* 10. Parent/Guardian Email Address

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* 11. Preferred Method of Contact

Section 2: Address, Ward, and Demographics

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* 12. Participant Home Address

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* 13. Albany Ward

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* 14. Gender

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* 15. Race/Ethnicity

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* 16. Does the participant receive or qualify for any of the following supports?

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* 17. Does the participant have an IEP, 504 Plan, or other learning/support plan?

Section 3: Program Selection, Scholarship Request, and Access Needs

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* 18. Preferred Summer Collective Program or Provider

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* 19. Program Areas of Interest

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* 20. Is the family requesting a summer scholarship or financial assistance for this participant?

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* 21. If requesting a scholarship, do you know the cost of the preferred summer program?

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* 22. If yes, please enter the estimated program cost.

Section 4: Consent and Permissions

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* 23. Consent for Participation, Data Use, Assessment, and Follow-Up

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* 24. Parent/Guardian Electronic Signature - Please type your full name as your electronic signature. By signing, you confirm that the information provided is accurate to the best of your knowledge and that you are authorized to complete this form or are assisting the family with completion of this form.

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* 25. Date Completed

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