New Student 2022 Camp Enrollment
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E-mail *
STUDENT INFORMATION
Child's Full Name *
Gender *
Date of Birth *
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/
MM
/
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Age *
Youth Shirt Size *
Grade Level entering in Fall 2022 *
Home Address *
City *
State *
Zip Code *
Parent Phone (best number to reach a parent) *
Allergy or Health Alerts *
Primary Language spoken at home *
Mandarin Language Level *
Spanish Language Level *
PARENTS/GUARDIANS
Student lives at the address above with: *
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The student's parents are: *
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FATHER/GUARDIAN INFORMATION
Name *
Email *
Cell Phone *
Home address same as student? *
Home address
City
State
Zip Code
Employment Status
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Employer *
Occupation/Title *
Business Address
City
Work Phone
MOTHER/GUARDIAN INFORMATION
Name *
Email *
Cell Phone *
Home address same as student? *
Home address
City
Zip Code
Employment status *
Employer
Occupation/Title
Business Address
City
State
Zip Code
Work Phone
How did you hear about Frontiers Academy: *
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Próxima
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