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Signup for Youth Exchange: Outbound Students and Parents or Accompanying Adult, and Current Inbound Students.
Each person attending must fill out a registration
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* Indicates required question
Last Name
*
Your answer
First name
*
Your answer
Gender
*
Male
Female
Prefer not to say
other
Attending as:
*
Long-Term Outbound Student
Long-Term Outbound Parent/Accompanying Adult
Short-Term Outbound Student
Short-Term Outbound Parent/Accompanying Adult
Long Term -Inbound Student
Student Name (if you are a parent registrant, please note the first and last name of your student)
Your answer
Rotary Club -Sponsor
*
Your answer
Email
*
Your answer
Phone Number *Please provide a phone number(s) where we can reach you before camp, if needed.
*
Your answer
Arrival Time *Arrive Friday Night After 7:00 pm
*
Time
:
AM
PM
Notes (including any dietary restrictions, late arrival)
Your answer
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