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Summer Jammers Camp Mentee Registration
Event Timing: June 17-August 2, 2024
Contact us at (754) 235-7936 or support@lockhartcaresinc.com
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* Indicates required question
Email
*
Your email
Mentee's Name:
*
Your answer
Address
Your answer
Age
*
under 12
13-15
16-17
The camp is located in Miami, 33142, will you need transportation?
*
Morning only
Afternoon only
Roundtrip
No, I will not need transportation
Required
Dietary restrictions
*
None
Vegetarian
Vegan
Gluten-free
Other:
Emergency Contact #1 (Name, Email, & Phone #):
*
Your answer
Emergency Contact #2 (Name, Email, & Phone #):
*
Your answer
T-shirt Size:
*
XS
S
M
L
XL
2X
Mentee's Strengths
Your answer
Mentee's Areas for Improvement
Your answer
Mentee's Current School
Your answer
A copy of your responses will be emailed to the address you provided.
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