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2023 GUD Summer Day Camper Registration
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Email *
Name *
Date of Birth  *
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Gender of Camper
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Age *
What grade are you in?  *
What is your shirt size? *
How do you identify your race and/or ethnicity?
 *
Please select all that apply.
Required
Email Address *
What is your parent/guardian's name and phone number? *
Do you have a sibling(s) between ages 12-16 that will be attending camp with you? *
How did you hear about the Youth Sports & Empowerment Summer Camp? *
If you answered other above, please explain.
Have you ever been to day camp before? *
Required
What are your favorite activities/hobbies to do in your free time? *
Is there anything you would like your camp leaders to know about you in advance? *

What three things do you most want to accomplish while you are at camp?

 *

Because we would like to know you better, is there anything else you'd like to share?

 *
Do you have any allergies (food, medicine), chronic illness, or medical concerns? *
Can you swim? *
What neighborhood do you live in?  *
Do you have any injuries that would prevent you from participating in any sports activities?  *
Required
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