Electrify 2022 Interest Form
Please fill out this form if you are interested in participating in Electrify Tech Camp 2022. We expect to have an update regarding the status of the camp January 2022.
Student First Name *
Student Last Name *
Guardian First Name *
Guardian Last Name *
Guardian Email *
Student's grade level 2021-2022 *
Has your student attend Electrify Tech Camp before? *
Preferred Contact Number *
Student's School *
Student's School City *
Student's School State *
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