Design Camp Application Form
Design Camp website.  Please let us know your interest in attending and having GEAR UP cover your registration fees by filling out this form. Spaces are available on a first-come, first served basis.   Once you are accepted, we will send confirmation, paperwork and further information.  
Contact karee.mackey@ashe.k12.nc.us or  336-877-6620  for questions.  
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Student's Last Name
Student's First Name
Student's Current Grade Level
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Age at camp
School
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Name of Parent/Guardian
Address
Parent/Guardian Email
Parent/Guardian Phone number
Dietary Restrictions
I participate in one of these programs-  check those that apply:
T-shirt Size
I commit to attending and realize I will be billed if I do not cancel in writing on or before June 20 or do not show up for the camp and no replacement is found. 
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Submit
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