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Sports and Peace Camp 2026
Monday June 15th-Tuesday June 16th, 2026 8:00 AM-3:00 PM
Camp Participant Name
*
First Name
Last Name
Birthday
*
-
Month
-
Day
Year
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Today
-
Month
-
Day
Year
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Age - days
Age - Years
Please choose age category
*
Ethnicity/Race
*
Non-Hispanic
Black
Asian
White
Native Hawaiian or Other Pacific Islander
Native American Indian
Alaskan Descent
Hispanic
Other
Gender
*
Male
Female
Other
Name of School
*
Grade
*
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College
College Graduate
Email
*
example@example.com
Phone Number #1
*
-
Area Code
Phone Number
Phone Number #2
-
Area Code
Phone Number
What is your plan after HS?
4 Year College
2 Year Program/Certificate
Military
Work
Undecided
What area do you need extra support in?
Academic/Tutoring
Choosing a College
Financial Literacy
College/Job Readiness
Creating a Plan
Expected Graduation Year
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
PARENT INFORMATION
Relationship to Parcipant
*
Single Parent/Female
Single Parent/Male
Two-Parent
Independent
Relative/Guardian
Foster
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Parent & Emergency Phone Number
*
-
Area Code
Phone Number
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