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Amplify '26 Residency Registration

Welcome! Please complete this form to apply for one of the 20 open spots in our 8-week Amplify Residency. All fields marked as required must be filled in.

Payment will be required after submitting this form to confirm your registration. Note: Students applying for a scholarship (partial or full) will have an option to apply for a partial or full scholarship below. UPDATE 9.16: Please reach out to Corbin York (707.522.6382) or Debra Fiedler (707.533.5871) if you need help with transportation to class!

Student Information

First Name

Last Name

Phone number

(Mobile for text updates)

Email address

Grade Level (As of Fall 2026)

High School Attending

AMP Residency Registration