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Pre-College Design Summer Camp Form
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*denotes a required field
Primary Contact Email for Communication*
Student Information
First Name*
Middle Name
Last Name*
Gender
Male
Female
Non-Binary
Birthdate*
Birthdate*
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Student's Age*
Current School*
Grade Level*
Expected Graduation Date*
Email Address*
Phone Number*
Permanent Address*
Permanent Address*
Country
Street
City
Region
Postal Code
Are you interested in our college readiness add-on program?*
Yes
No
Not sure/Haven't heard of it
Which format are you interested in?*
2-week Day Program
2-week Residential Program
4-week Day Program
4-week Residential Program
What is your primary reason for considering our camp?*
Fun
Learning
Social Interaction
Other
Other consideration
How did you hear about our camp?*
Social Media
Friend/Family
School
Online Search
Other
Other way you heard about camp
Do you have any specific questions or concerns?
Which program are you interested in?*
Principles of Stop-Motion: The Art of Claymation
Architecture Through Nature
Motion Capture and Gaming: 3D Characters in Motion
Fashion Design: From Concept to Creation
Guardian Information
Guardian First Name*
Guardian Last Name*
Phone Number*
Email*
Relationship to Student*
Emergency Contact Information
Emergency Contact First Name*
Emergency Contact Last Name*
Email*
Phone Number*
Primary Address*
Primary Address*
Country
Street
City
Region
Postal Code
Relationship to Student*
ADA Accommodations
Do you require any accommodations?
Yes
No
If yes, please specify the type of accommodations needed.
Submit