2024 K-State Auxiliary & Leadership Camp
July 14-17, 2024
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Student First Name *
Student Last Name *
Gender *
Address Street or PO Box *
Address City *
Address State *
Address ZIP *
Student E-mail Address *
Student Telephone Number *
Parent/Guardian Name(s) *
Parent E-mail Address *
Parent Phone *
Emergency Contact First Name *
Emergency Contact Last Name *
Emergency Contact Telephone *
Emergency Contact E-mail *
Camp Attending *
Current School (2023-2024) *
Grade during the 2023-2024 school year *
Adult T-Shirt Size *
Special requirements (dietary, physical, medical, etc.)
Payment *
Required
If staying in the residence hall and have a roommate preference please specify the name.
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