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2. Zionsville Police Department Teens Academy

   The Zionsville Police Teen Academy aims to provide a fun, free and safe opportunity for children ages 11-15 to learn more about police work.

   The 2023 Teen Academy will take place June 5 - 9, 2023 from 9 a.m. - 3 p.m. Please complete this form to apply. Note: participation is limited to the first 40 teens to apply.

4. First and Last Name*
6. Email Address*
7. Phone Number*
9. Address
11. City
12. State
13. Zip Code
15. Date of Birth*
    Date of Birth
17. Emergency Contact Name and Relationship*
18. Emergency Contact Phone Number*
20. T-shirt Size (Adults Sizes XS-XL)
21. Shorts Size (Adult Sizes XS-XL)
23. Has the applicant been arrested? *

    1. Yes
    2. No
24. If yes, date and reason.
26. Any health issues?*

    1. Yes
    2. No
27. If yes, describe.
29. Why would you like to attend the Teens Academy?
Leave This Blank:


31. 1. Receive an email copy of this form.
32. Email address

    This field is not part of the form submission.

33. Submit

* indicates a required field