THE 2018 CHICAGO DEBATE SUMMER INSTITUTE (High School)
July 30th - August 10th, 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: *
Your answer
Nickname or other preferred name (skip if none):
Your answer
Student's preferred pronouns: *
Student Email (put N/A if none): *
Your answer
Student Cell Number (put N/A if none): *
Your answer
Mailing Address: *
Your answer
Parent/Guardian Name: *
Your answer
Parent/Guardian Cell Number (put N/A if none): *
Your answer
Parent/Guardian Work Phone Number (N/A if none):
Your answer
Home Phone Number (N/A if none): *
Your answer
Parent E-mail (put N/A if none): *
Your answer
Preferred Method of Contact for Parent/Guardian: *
Student Birthdate: *
Your answer
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.
2017/2018 School Attended: *
Your answer
School your student will attend in Fall of 2018: *
Your answer
Grade Level your student will be in in Fall of 2018: *
Next
Never submit passwords through Google Forms.
This form was created inside of Chicago Debates. Report Abuse - Terms of Service - Additional Terms