THE 2017 CHICAGO DEBATE SUMMER INSTITUTE (High School)
July 24th - August 4th, M-F 9 am - 3:30 pm
Whitney M. Young Magnet High School, 211 S Laflin St, Chicago, IL 60607
Email address
Contact Information:
Please fill as completely as possible so that we may contact you with any problems or issues affecting your student.
Student's First and Last Name:
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Nickname or other preferred name (skip if none):
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Student's preferred pronouns:
Student Email (put N/A if none):
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Student Cell Number (put N/A if none):
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Mailing Address:
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Parent/Guardian Name:
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Parent/Guardian Cell Number (put N/A if none):
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Parent/Guardian Work Phone Number (N/A if none):
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Home Phone Number (N/A if none):
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Parent E-mail (put N/A if none):
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Preferred Method of Contact for Parent/Guardian:
Student Birthdate:
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Student Age:
Student Dietary Restrictions: While we want to be aware, please note that these cannot be accommodated other than Vegetarian and possibly Vegan items. Students with severe allergies must plan to bring their own lunch.
2016/2017 School Attended:
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School your student will attend in Fall of 2017:
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Grade Level your student will be in in Fall of 2017:
GPA in 2016/2017 (put N/A if unknown):
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