Thanksgiving Break Camp Registration Form: November 25 - 27
Please complete the following registration form. Space is limited.
Attendee's Name
First Name
Last Name
Attendee's Birth Date
Please select a month
January
February
March
April
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June
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November
December
Month
Please select a day
1
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Day
Please select a year
2024
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Year
Attendee's Gender
Male
Female
Parent / Guardian Name
First Name
Last Name
Parent/Guardian Best Contact Number
Email Address
example@example.com
Relationship to Attendee
Primary Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
We would love to learn more about the attendee
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School Information
High School Name
Expected Graduation Date
-
Month
-
Day
Year
Date
Is there anything else we need to know?
Submit
Should be Empty: