GEAR UP Summer Celebration Registration
Event Day/Time: May 24 - 25  (9 am - 1:30 pm)

Event Address: PVHS 501 E. Calvada Blvd, 89048

GEAR UP Contact Information:  OR
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Email *
Prepare for the next phase of your life this summer with GEAR UP!
This will be an INDOOR & OUTDOOR event. Lunch will be provided both days. Transportation is available to students who need it. Workshops will be hosted by Paradigm Shift. There will be an opportunity for students to win various prizes.
Student Name (First, Last) *
Transportation *
If you would like transportation, please provide the address where you will be picked up from. (if you do not need transportation please type "N/A" in this box) *
Emergency Contact *
What days will you attend? *
Do you have any medical conditions or allergies you would like us to know about? (please type N/A if it does not apply) *
I give permission to be photographed during this event for school related use in the future. *
I understand that I will be attending a GEAR UP event where I will receive lunch, attend various workshops on how to be successful post high school & other activities.  I give my consent to participate in this event. *
Brought to you by Nevada GEAR UP!
A copy of your responses will be emailed to the address you provided.
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