IP: Summer Design Program Application
Hi IP Students and Families,

We would like to invite you to our Summer Design Program! Please complete this as soon as possible to ensure there is enough resources purchased for the event.

Note: For any questions that do not apply to you or your family, please write "N/A" or select N/A 
If you are signing up for multiple students, please submit (1) form per student.


For access and/or accommodation needs please contact the Summer Camp team, summercamp@inneractproject.org

*Date, Time, Location are subject to change 
Date: July 1 - 31, 2024
Time: 10am - 2pm
Location: Fremont High School Oakland, Ca

*For data collection purposes, we have adopted a rendition of the California U.S census.
 
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Email *
Student First Name: *
Student Last Name: *
Student Date of Birth  *
Student Phone Number: *
Guardian's First Name *
Guardian's Last Name *
Guardian's Email: *
Guardian Phone Number *
Current Zip Code *
What Grade Are You Entering This Upcoming School Year? *
Do you or your guest(s) have any dietary restrictions or Allergies? If so, please let us know *
Are you new to IP? *
Race ( select all that apply) *
Required
Ethnicity 
Relation to IP *
Required
Who introduced you to IP? *
Required
Name of person / organization that introduced you to IP (If Applicable)
How did you find out about this program? *
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