NSYMCA HAWKS Camper Questionnaire

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NSYMCA HAWKS Camper Questionnaire - Basic Information

Camper Name *

First and last name

Date of Birth

YYYY

Gender

Male

Female

Clear selection

Parent/Guardian Name *

Best Contact Number *

Address *

What school does the camper attend currently? *

What grade will they be entering in the Fall of 2022? *

Emergency Contact (1) *

Please include the name, phone number, and relationship in your answer.

Emergency Contact (2) *

Please include the name, phone number, and relationship in your answer.

Which program are you planning to register for: *

HAWKS High School Camp

HAWKS Inclusion Camp

Required

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