2017 Camp Waitlist Form
Email address
Camp(s) interested in
Parent/guardian information
Parent/guardian's first name
Your answer
Parent/guardian's last name
Your answer
Parent/guardian's e-mail address
Your answer
Day time phone number
Your answer
Evening phone number
Your answer
Mailing address
Your answer
Relationship to student
Your answer
Highest education attained
Student information
Student's first name
Your answer
Student's last name:
Your answer
Student's birthday
mm/dd/yyyy
Your answer
Student's school (for fall 2017)
Your answer
Student's grade level (for fall 2017)
Student's ethnicity
Required
Does student receive free or reduced lunch and/or is yearly family income at or below $40,000?
T-shirt size
Student's most recently completed math course
Your answer
Please describe any experience with computer science or programming or robotics that the student has (answer to be written by the student.)
Your answer
Why are you interested in attending this camp? (answer to be written by the student.)
Your answer
How did you hear about our camp?
Required
Friends
If any of your student's friends are also applying for camp, feel free to list them here so we can try to place them in the same session.
Your answer
Please let us know of any accommodations needed for the student
This will not be used to determine admission to camp.
Your answer
A copy of your responses will be emailed to the address you provided.
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This form was created inside of UW Computer Science & Engineering. Report Abuse - Terms of Service - Additional Terms