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East Oakland Boxing Association Application
Application form for EOBA After School & Summer Programs, plus Oakland Diamond Divas Dance Company @ EOBA.
** EOBA Summer Camp runs from 06/02/2025 to 07/31/2025. There is a one-time $25 Registration Fee that goes toward Field Trips and Transportation costs. Please pay the fee
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Email
*
Your email
I am applying for:
*
After School Program (through 05/23/2025)
Summer Program (06/02/2025 to 07/31/2025) - $25 Registration Fee (see note above)
Oakland Diamond Divas Dance Company @ EOBA
Child's Last Name
*
Your answer
Child's First Name and Middle Initial
*
Your answer
Sex
*
Male
Female
Non-binary
Ethnicity
*
Afro-Caribbean or Afro-Latin(o/a)/Latinx
American Indian or Alaskan Native
Asian, Asian American or Filipino
Black or African American
Hispanic or Latin(o/a) or Latinx
Arab or Other Middle Eastern American
Pacific Islander or Native Hawaiian
South Asian, Indian or Desi
White, European, or Caucasian
Two or More
Other
Decline to state
Primary Language
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Age
*
Your answer
School
*
Your answer
Grade Now (or Next School Year if Summer Program)
*
Your answer
Eligible for Free or Reduced Lunch
*
Yes
No
Any Special Needs
Your answer
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