Application for a scholarship for the North Lakes Genius Camp - 18 & 19 December 2019
We're excited to have you apply for one of the 10 Genius Camp seats! We can't wait to ignite your genius and see all the incredible things you will do in the world!

By completing this application you are also expressing a commitment to attend for the 2 full days of the Genius Camp. If you cannot commit to attending the 2 full days, please don't complete the application. Leave the space for someone else who can attend the event.

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Email *
Dr Seuss
Your First Name and Last Name *
This will be the name of the attendee for the Genius Camp.
What is your age group? *
School you currently attend *
Why do YOU want to attend the Genius Camp? *
Provide us with as much information as you can to help us get to know why you really want to attend so we can provide you with a scholarship for the event.
Your parent / guardian name(s) *
We will need to contact your parent or guardian to provide further information about the Genius Camp. This is a legal requirement.
Your parent / guardian primary email *
We will need to contact your parent or guardian to provide further information about the Genius Camp. This is a legal requirement.
Your parent / guardian phone number *
We will need to contact your parent or guardian to provide further information about the Genius Camp. This is a legal requirement.
Your preferred T-shirt size *
Each Genius Camper will receive a specially designed T-shirt. Please select from the list below.
A copy of your responses will be emailed to the address you provided.
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