Salmon Empowerment Project 2019 Summer Program
If you need help or have any questions while filling out the application, feel free to call us and we will be happy to assist!

208-756-3146

Email address *
Participant Name (First & Last): *
Your answer
Age: *
Your answer
Grade *
6th
7th
8th
Check one
Parent/Guardian Names: *
Your answer
Address (please include City, State and Zip) *
Your answer
Phone Number(s): *
Your answer
Would you like RemindME text messages? *
Emergency Contact & Relationship: *
Your answer
Emergency Contact Phone Number: *
Your answer
Have you filled out the liability waiver? *
If not, you can find it on the SEP website! Call if you have any questions: 208-756-8980
Any other information you'd like us to know?
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of LCCI Mahoney House. Report Abuse - Terms of Service