UPS / SHADES OF BLUE Aerospace Camp
ONTARIO APPLICATION
Last Name *
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First Name *
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Address *
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City *
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State *
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Zip code *
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Home Phone # *
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Cell Phone # *
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Email Address *
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Gender *
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Date of Birth *
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School Name *
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Current GPA *
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Have you participated in this program before? *
If Yes, how may years
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Parent / Guardian first and last name *
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Parent / Guardian phone number *
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Emergency contact *
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Emergency contact phone # *
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Names of persons authorized to pick up students *
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Important Medical information / health concerns / allergies
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Emergency medical contact info
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Special accommodations needed
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Essay - Please tell us why you would like to attend the Aerospace Camp *
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