Mini-town Application
The goal of Mini-Town is to foster an environment in which education, dialogue, and interaction among the delegates result in increased self-esteem, mutual respect, understanding, and acceptance of all cultures, ethnic groups, faith/religions, and genders. Mini-town Information:

Cost: $225 (pays for transportation, camp lodging, food, and director fees) Please contact Mrs. Konrad or Mrs. Campbell if you have questions about payment. Payments will be made online, through community ed.

Dates: Friday, February 16, through Sunday, February 18. Students will depart from school early Friday morning (7:30) and return Sunday afternoon (3:00).

Form will be live until Friday, January 19.  Delegates will be selected and notified Monday January 22. The parent meeting will be Wednesday 24 at 5:30. 
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Student FULL Name (last, first)
Student Email Address (kyrene or personal) *
Parent Email Address *
Parent/Legal Guardian Name (last, first) *
Parent/Legal Guardian (last, first)
Homeroom Teacher (Advisory) *
Shirt Size *
List one person you would be comfortable with in a cabin *
Gender (this is used for cabin assignments) *
Ethnicity(this is used to assure diversity at camp) *
Religion (this is used to assure diversity)  *
On a scale of o1-10  (1 is strongly disagree, 10 is strongly agree)  How much do you agree with the following statement. I have witness/experienced bullying at my school. *
On a scale of o1-10 (1 is strongly disagree, 10 is strongly agree) How much do you agree with the following statement. I have witness/experienced bullying outside of school. *
On a scale of o1-10 (1 is strongly disagree, 10 is strongly agree) How much do you agree with the following statement. My home is a stress free environment. *
On a scale of o1-10 (1 is strongly disagree, 10 is strongly agree) How much do you agree with the following statement. I have friend(s) that I can rely on.  *
On a scale of o1-10 (1 is strongly disagree, 10 is strongly agree) How much do you agree with the following statement. I like to try new things. *
On a scale of o1-10 (1 is strongly disagree, 10 is strongly agree) How much do you agree with the following statement. I have someone who supports me in my family. *
On a scale of o1-10 (1 is strongly disagree, 10 is strongly agree) How much do you agree with the following statement. Covid and the pandemic have affected me greatly.  *
Explain why you responded the way you did to the question about covid and the pandemic.  *
What Unique qualities do you possess that would make you a good candidate for Mini-Town *
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