Participant Interest in Capital Experience Lab (CapXLab) HS Summer Program

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Participant Interest in Capital Experience Lab (CapXLab) HS Summer Program - Monday-Friday from July 6-July 31.

Fill in all the required sections below. A CAPXLAB representative will reach out to you with additional information.

Email *

The COVID-19 Response Squad is currently full. However, we are accepting students on our waiting list. *

I understand that by completing this form, I am signing up for the waiting list for the COVID-19 Response Squad.

Name of Participant: *

This program is for students in grades 10-12. Are you a high school student in grades 10-12? *

Yes

ASSISTANCE FOR THOSE WHO DO NOT SPEAK ENGLISH // AYUDA PARA QUIENES NO HABLAN INGLES

Anyone who does not speak English can leave a phone number or email, and a representative will work with a translation service to help with registration.

Quienes no hablen inglés deben dejar su numero de telefono o correo electronico, y un representante trabajará con un servicio de interpretación para ayudar con la inscripción. Este servicio está disponible para la mayoría de los idiomas.

Clear form

Never submit passwords through Google Forms.

This form was created inside of Capital Experience Lab. Report Abuse

Forms