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CSI Youth Academy Sign Up Form
This program is open to the first 30 students to sign up.
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* Indicates required question
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Grade
*
9th
10th
11th
School
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Email
*
Your answer
Parent/Guardian Cell Phone Number
*
Your answer
Will your student need transportation from their home school to F.E. DuBose on camp days? All students must be picked up daily from F.E. DuBose by 6 pm by a parent/guardian.
*
Yes
No
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