Spring 2017 Application and Permission Form
This is the online application for the Spring 2017 KEYS Sessions!

Please note: by completing this form, you are agreeing to participate on the selected dates.

General Information
Please make sure everything is spelled correctly! Thank you!
Student Name
Your answer
Student Last Name
Your answer
Name of Middle School
Your answer
Grade
Shirt Size
Home Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
Home Phone
Your answer
Parent/Guardian Name
Your answer
Parent/Guardian Email
Your answer
Parent/Guardian Cell Phone
Your answer
Emergency Contact Information
List the names of two persons to contact other than the parent/guardian in case of an emergency.
Emergency Contact 1
(Name, cell phone number)
Your answer
Relation to Child
Emergency Contact 2
(Name, cell phone number)
Your answer
Relation to Child
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