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Lewis Science Camp
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Student's First Name
*
Your answer
Student's Last Name
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Your answer
Parent's First Name
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Your answer
Parent's Last Name
*
Your answer
Teacher's Name
*
Ms. Natalie
Ms. Sarah
Are you able to pay the full tuition of $200?
*
Yes, I can pay the full amount.
No, I need a partial scholarship.
No, I need a full scholarship.
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