Youth Application & Referral
Solicitud de Inscripcion y Referencia


Program Website: Project Avary

Thank you for your interest in Project Avary, a community for youth with current or formerly incarcerated caregivers (including prison, jail, or immigration enforcement). To enroll a youth into our program, please fill out the questions below. We will contact you within 5 business days of receiving your application.

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If you are not the youth's caregiver, and would like to refer a youth to our program, please let the family know that you have submitted this referral on their behalf.

If you have any questions, please email our Program Director, Claudia Muñoz: claudia@projectavary.org.

Who is filling out this form?








Youth Details
















Adult Caregiver Details







Program Details

Online Program:

Our online mentoring program consists of 6 weekly community groups, which last approximately 60-75 minutes. Sessions are held using the Zoom video conferencing platform. Groups include 6-10 youth participants, ages 8-18, experienced adult facilitators, and teenage junior counselors, all who have personal experience with parental incarceration.









Additional Youth Details
















Program Details

Online Program:

Our online mentoring program consists of 6 weekly community groups, which last approximately 60-75 minutes. Sessions are held using the Zoom video conferencing platform. Groups include 6-10 youth participants, ages 8-18, experienced adult facilitators, and teenage junior counselors, all who have personal experience with parental incarceration.




Outdoor Program:

Our outdoor mentoring and leadership program consists of an summer camp, weekend retreats, and day-long outings across Northern California. These experiences create a stable foundation of support that lasts from childhood into young adulthood.










Sito Web: Project Avary

Gracias por su interés en Proyecto Avary, una comunidad para jóvenes con cuidadores actualmente o previamente encarcelados (incluyendo prisión, cárcel o control migratorio). Para inscribir a un joven en nuestro programa, complete las siguientes preguntas. Nos pondremos en contacto con usted dentro de los 5 días hábiles posteriores a la recepción de su solicitud.

*Si usted no es el cuidador del joven y desea referirlo a nuestro programa, infórmele a la familia que ha enviado esta referencia en su nombre.

Si tiene alguna pregunta, envíe un correo electrónico a nuestra Directora de Programas, Claudia Muñoz: claudia@projectavary.org.

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Detalles del Joven

















Detalles del Cuidador Adulto








Detalles del Joven