2019 Challenge Academy Registration Form
WELCOME TO REGISTRATION FOR REAPS 10TH ANNUAL CHALLENGE ACADEMY!
Our Challenge Academy is a four day long event which affirms the positive identity and expanding skill sets that our youth have. Our vision is to engage students in skill and communication building activities, to connect them with local leaders, proactive community members, and local health, technology, trades and skills based innovators.
First name *
Your answer
Last Name *
Your answer
Ethnicity *
Your answer
Email Address *
Your answer
Birthdate *
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DD
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Address
Your answer
Phone Number *
Your answer
School *
Your answer
Are you planning on using REAPs provided transportation or traveling to the event on your own/ public transportation? *
What grade will you be in Fall 2019? *
Field of Interest *
Required
Dietary Restriction *
T-Shirt Size *
Emergency Contact Name *
Your answer
Emergency Contact: Phone Number *
Your answer
What is the name of the person that referred you?
Your answer
Bus Schedule: Tuesday, Aug 6 - Friday, Aug 9
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