Design Connect Create Program Participation & Consent Form (Richardson 3rd -5th)
Please complete this form to register your student for participation in Design Connect Create programming. This information helps us ensure a safe, supportive, and engaging experience for all participants.  
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Email *
Participant First Name *
Participant Last Name *
Participant Phone # *
Participant Email *
Participant Date of Birth   *
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/
DD
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Participant Current Grade Level  *
Participant Ethnicity
Will you attend the entire camp? *
If no, please expain.
Participant School Name *
Participant School District *
Participant School Student ID *
Participant Gender  *
Participant T-shirt Size *
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