2023 Summer Academy Paperwork

	A	B	C	D	E	F	G	H
1	Session	Program	Name	SEA Event Consent and Waiver	Attendee Health and Emergency Contact	Authorization for Administration of Medication	Date of Most Recent Physical	Individual Care Plan

2	Session 1	716 Squash	Teresa Kyaw	Completed	Completed		6/27/2023
3	Session 1	716 Squash	Snow Queen	Completed	Completed		6/29/2023
4	Session 3	Access Youth Academy	Nathan Getachew	Completed	Completed		7/8/2022
5	Session 3	Access Youth Academy	Haymi Abebe	Completed	Completed	Completed	8/15/2021
6	Session 3	Access Youth Academy	Hermela Alem	Completed	Completed		11/21/2022
7	Session 1	Capitol Squash	Dariel Mercado	Completed	Completed		8/1/2022
8	Session 1	Capitol Squash	Paw Law Eh	Completed	Completed		8/19/2022
9	Session 1	Capitol Squash	Nagima Williams	Completed	Completed		8/29/2022
10	Session 1	Capitol Squash	Eh Htoo	Completed	Completed	-	6/22/2023
11	Session 2	Capitol Squash	Aldina Velic	Completed	Completed		9/23/2020
12	Session 2	Capitol Squash	Hser Paw Shee	Completed	Completed		9/1/21
13	Session 2	Capitol Squash	Hser Paw Moo	Completed	Completed		9/23/2021
14	Session 2	Capitol Squash	Pa Lae Htoo	Completed	Completed		6/30/2022
15	Session 2	Capitol Squash	Zachary Bhola	Completed	Completed		10/24/2022
16	Session 3	Capitol Squash	Henry Htoo	Completed	Completed	Completed	6/12/2023
17	Session 3	Capitol Squash	Almedina Velic	Completed	Completed	-	6/30/2021
18	Session 1	Cincinnati Squash Academy	Fredy Jr. Gabriel	Completed	Completed	only takes vitamins	4/10/2023
19	Session 1	Cincinnati Squash Academy	Saxon Lackey	Completed	Completed		4/26/2023
20	Session 3	Cincinnati Squash Academy	Laell Asefa	Completed	Completed	--	2/18/2021
21	Session 3	Cincinnati Squash Academy	Leah Kindle	Completed	Completed	--	5/24/2021
22	Session 1	City Squash	Kimberly Montesinos	Completed	Completed		9/23/2022
23	Session 1	City Squash	Michael Vasquez	Completed	Completed		6/29/2023
24	Session 1	City Squash	Joel Dircio Castañeda	Completed	Completed		6/30/2023
25	Session 3	City Squash	Gerardo Ortiz	Completed	Completed		7/13/2023
26	Session 3	City Squash	James Vazquez	Completed	Completed		7/14/2023
27	Session 3	City Squash	Rodrigo Hipolito	Completed	Completed		3/24/2022
28	Session 3	City Squash	Ariana Michaca	Completed	Completed		6/9/2021
29	Session 3	City Squash	Ashley Amaro	Completed	Completed		11/8/2022
30	Session 3	City Squash	Lindyn Morocho	Completed			3/30/2021
31	Session 3	City Squash	Stephany Silva	Completed	Completed		3/28/2022
32	Session 1	First State Squash	Rihanna Lopez-Bedolla	Completed	Completed		6/16/2022
33	Session 1	First State Squash	Elyas Al-Gohafi	Completed	Completed		6/4/2022
34	Session 1	First State Squash	Anastasia Carpenter	Completed	Completed	Needed for asthma pump	2/20/2023
35	Session 1	First State Squash	Shayif Al-Gohafi	Completed	Completed		6/4/2022
36	Session 1	First State Squash	Solomon Abbey	Completed	Completed		3/20/2023
37	Session 1	Kids On Point	Ki'Juan Drayton	Completed	Completed	Needed for asthma pump	6/26/2023
38	Session 2	MetroSquash - Evanston	Benjamin Adan	Completed	Completed		5/9/2023
39	Session 2	MetroSquash - Woodlawn	Byron Preston	Completed	Completed	Completed		Completed
40	Session 2	MetroSquash - Woodlawn	Armon Hardman	Completed	Completed
41	Session 2	Racquet Up Detroit	James Lewis Jr.	Completed	Completed	Completed	4/4/2022	Completed
42	Session 2	Racquet Up Detroit	Trevon Ramsey	Completed	Completed	Completed	6/12/2023	Required for epi-pen
43	Session 2	Racquet Up Detroit	Victoria Pickens	Completed	Completed		6/2/2023
44	Session 2	Rally Portland	Hafso Mire	Completed	Completed		4/29/2022
45	Session 2	Rally Portland	Owen Watchiba	Completed	Completed	-	2/27/2023
46	Session 2	Rally Portland	Joslin Joy	Completed	Completed	-	6/23/2023
47	Session 3	Rally Portland	Adam Le	Completed	Completed	-	2/1/2023
48	Session 3	Rally Portland	Tommy Le	Completed	Completed	-	2/1/2023
49	Session 2	Squash Haven	Emely Latta	Completed	Completed		9/2/2022
50	Session 2	Squash Haven	Isai Flores	Completed	Completed		10/11/2021
51	Session 2	Squash Haven	Natalie Moreno	Completed	Completed		2/18/2020
52	Session 3	Squash Haven	Adiel Nelson	Completed	Completed	-	11/29/2021
53	Session 3	Squash Haven	Desmond Benjamin	Completed	Completed		7/5/2023
54	Session 3	Squash Haven	Mya Cardwell	Completed	Completed	Completed	5/7/2021	Completed
55	Session 2	SquashBusters - Boston	Phillip Vo	Completed	Completed		11/28/2022
56	Session 2	SquashBusters - Boston	Christopher Muzac	Completed	Completed		9/9/2020
57	Session 3	SquashBusters - Boston	Jason Muyonjo	Completed	Completed		5/12/2023
58	Session 2	SquashBusters - Lawrence	Jeans Valverde	Completed	Completed	-	10/28/2022
59	Session 2	SquashBusters - Lawrence	Genesis Mazariegos	Completed	Completed		10/28/2022
60	Session 2	SquashBusters - Lawrence	Eddin Maccario	Completed	Completed		6/6/2022
61	Session 2	SquashBusters - Providence	Wilson Perdomo	Completed	Completed		4/28/2023
62	Session 2	SquashBusters - Providence	Tremaine Jones	Completed	Completed	Needed for Asthma	1/31/2022
63	Session 2	SquashBusters - Providence	Giovanni Valley	Completed	Completed		2/3/2022
64	Session 3	SquashBusters - Providence	Luis Padilla	Completed	Completed		10/14/2021
65	Session 3	SquashBusters - Providence	Matthyaz Williams	Completed	Completed	-	2/25/21
66	Session 3	SquashBusters - Providence	Kairiana Gonzalez	Completed	Completed	-	3/23/21
67	Session 1	SquashDrive	Abigail Lopez Gutierrez	Completed	Completed		4/13/2022
68	Session 1	SquashDrive	Janya Moore	Completed	Completed		9/13/2022
69	Session 1	SquashDrive	Angel Guerrero	Completed	Completed		5/1/2023
70	Session 1	SquashDrive	Yarick Maldonado	Completed	Completed		6/27/2023
71	Session 1	SquashSmarts	Alejandro Figueroa - Pedraza	Completed	Completed		9/15/2023
72	Session 1	SquashSmarts	Joshua Higareda	Completed	Completed		4/13/2023
73	Session 1	SquashSmarts	Syheir Keenan	Completed	Completed		4/12/2023
74	Session 3	SquashSmarts	Samuel Wright	Completed	Completed		2/3/2022
75	Session 3	SquashSmarts	Zachery Greene	Completed	Completed		6/27/2023
76	Session 3	SquashSmarts	Jaida Brown	Completed	Completed		2/25/2022
77	Session 1	SquashWise	Shawn Fleet JR	Completed	Completed	Completed	5/24/2023
78	Session 1	SquashWise	Jaylen Harris	Completed	Completed		6/1/2023
79	Session 1	SquashWise	Lindsay Gonzalez	Completed	Completed		5/12/2023
80	Session 1	SquashWise	Chaazaqmagan Sweetney	Completed	Completed	Completed	6/2/2023
81	Session 3	SquashWise	Marisa Coleman	Completed	Completed	Completed	6/12/2023	Completed
82	Session 2	Steel City Squash	Kamya Cousar-Franklin	Completed	Completed		1/26/2023
83	Session 2	Steel City Squash	Skyler Jackson	Completed	Completed		6/9/2023
84	Session 3	Steel City Squash	DaNerah Chisholm	Completed	Completed	Completed	6/5/2023
85	Session 1	StreetSquash	Jonathan Aguila Jr.	Completed	Completed	--	8/17/2022
86	Session 1	StreetSquash	Maurice Anderson	Completed	Completed	--	8/12/2022
87	Session 3	StreetSquash	Osiris Perez	Completed	Completed		5/22/2023
88	Session 3	StreetSquash	Khissaiyia Spencer	Completed	Completed	Completed	6/8/2021
89	Session 3	StreetSquash	Rokaya Ali	Completed	Completed		7/5/2022
90	Session 3	StreetSquash	Ahmed Ali	Completed	Completed	Completed	6/30/2023
91	Session 2	Urban Squash Cleveland	Anaya Domanski	Completed	Completed		8/26/2021
92	Session 2	Urban Squash Cleveland	Kent Collier	Completed	Completed		5/2/2022
93