2022 Create Initiative (Virtual)                                        
Requirements:  Ages 12 - 17, Available 7/5- 7/15 | 9:00 a.m. - 12:00 p.m. (virtually)

The program will be held virtually - must have Internet access, mobile device and computer to participate
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Parent(s) / Guardian(s)  Name *
Participants First Name *
Participants Last Name *
Street Address *
City *
State *
Zip Code *
Cell Phone (parent / guardian)
Email Address (parent / guardian) *
Date of Birth *
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Gender *
Race *
Education *
Name & Address of Last School Attended *
Technology Interests (Check all that apply) *
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Describe your experience level in chosen area(s) of interest *
How did you hear about the program?
I am interested in participating in the summer workshops, and I will commit to attending all sessions.   *
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