Deaf Summer School Camp 2020
This is the full registration form for the Deaf Summer School Camp, 17-21 January 2020 at YMCA Camp Adair. Most questions require a response.

Any questions / concerns - contact us at nzdeafcamp@gmail.com
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Personal Information - Student
T-shirt size *
First and Last name *
Name must match passport or ID - for Flight/Travel Purposes - as can be asked for ID at airport or transport stations.
Date of Birth *
MM
/
DD
/
YYYY
Age *
Ethnicity *
Gender *
Indication of Deafness *
Hearing Assistance *
Required
Teacher of the Deaf/ASSIST Services
Please enter the name of your student's Teacher of the Deaf / ASSIST below. Otherwise, please provide your child's audiogram to nzdeafcamp@gmail.com.
Name of Teacher of the Deaf/ASSIST (if any)
Communication Method *
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