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Synergy Youth Business Camp Sign Up Form
Date : June 15 - August 15
4123 Okemos Rd, Suite 18, Okemos, MI
Tel: (517) 303-2161
Email: info@synergycpafinancial.com
For more information regarding this camp, please
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Parent/Guardian Full Name
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Your answer
Parent/Guardian phone number.
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Your answer
Parent/Guardian email address.
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Your answer
Kids Full Name
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Your answer
Kids Age
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Your answer
Kids School & Grade
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Your answer
Why do you like business?
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Your answer
Any allergies or medical conditions we should know?
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Will the parent/guardian be able to actively participate?
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Emergency Contact Full Name
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Emergency Contact Phone Number
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Your answer
Relationship to Child
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Your answer
Background Check & NDA Acknowledgment
As we will have real business practice, kids will use real business and finance data. Parents are required to pass a background check and sign a non-disclosure agreement (NDA). Parents agree to pay the $125 background check fee.
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I acknowledge and agree to the background check, NDA requirement, and $125 background check fee.
I agree to allow my child to participate in Synergy youth Business Camp and understand that parents’ involvement is required.
I consent to photos/videos taken during the camp being used for promotional purposes.
I release Synergy and its staff from liability for injuries or accidents that may occur during participation.
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Comments and/or questions
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Parent/Guardian Signature (type your full name)
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