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University at Buffalo GenCyber Camp
Camper Application Request
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* Indicates required question
Camper First Name
*
Your answer
Camper Last Name
*
Your answer
Camper Age as of 6/27/2024
*
Choose
under 13
13
14
15
16
17
18
Camper Sex
*
Male
Female
Camper School
*
Your answer
Camper Grade entering in Fall 2024
*
Choose
7
8
9
10
11
12
College
Camper T-Shirt Size (Adult Sizes)
*
XS
S
M
L
XL
XXL
Parent / Guardian First Name
*
Your answer
Parent / Guardian Last Name
*
Your answer
Parent Phone Number
*
Your answer
Parent Mailing Address
*
Your answer
Parent Email Address
*
Your answer
How did you hear about UB GenCyber Camp?
Your answer
Do you have any questions for us, or additional information to share about your child?
Your answer
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