DNA Center Residential Summer Camp Registration

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Please complete this form to start the registration process for a residential summer camp. Registration will be capped at 24 students per camp and will be honored on a first come first serve basis. The completion of this form serves as the first step and will serve as a placeholder in line until all forms and fees are received.

Camper's Name *

Gender *

Male

Female

Current Grade Level and School *

Parent/Guardian Name/s *

Camp Registering for: *

Please note, if you are registering for a camp that does not match your camper's grade level, contact us (AdminDNAcenter@nd.edu) for additional information prior to registration. Until we discuss any mismatched grade levels, all registration will be pending.

June 16 - June 21 intended for students completing grades 7 or 8

June 23 - June 28 intended for students completing grades 9-10

July 7 - July 12 intended for students completing grades 7-10

T-Shirt Size *

Youth M

Youth L

Adult S

Adult M

Adult L

Adult XL

Home Address *

Home Telephone *

Contact E-mail Address *

Notre Dame previously required vaccination to COVID-19 for summer residential programs. 2024 policies have not yet been announced. Please indicate which statement below is correct:

The camper registering is vaccinated and it will not be a problem.

The camper registering is not vaccinated now, but will be vaccinated prior to the start of the program.

The camper registering is not vaccinated and will not get vaccinated. Please void this registration if vaccination is required by the Residence Halls.

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I understand that I must complete 4 waivers including a medication information, emergency treatment, overnight permission form, and science activity permission form in order for my registration to be completed *

I am responsible for completing these forms and returning either via email (AdminDNAcenter@nd.edu) or traditional mail DNA Center Dr. Amy Stark 139 Jordan Hall Notre Dame, IN 46556

True

False

I understand that I must send a check made out to the University of Notre Dame for $1495. Receipt of this check is necessary for completed registration. *

Any check fees for a returned check will be entirely the responsibility of the individual. Refunds will be honored through May 1 minus a $50 processing fee. Any cancellations due to Covid infection/policies will not have a processing fee.

True

False

Please share any dietary restrictions or preferences or add any details about medical conditions that would affect camp participation.

Where did you hear about this program?

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