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Youth Summer Camp Registration Form
Grades 5 & 6
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* Indicates required question
Today's Date
*
MM
/
DD
/
YYYY
Full Name
*
Your answer
Gender
*
Choose
Female
Male
Age
*
Choose
8 years old
9 years old
10 years old
11 years old
12 years old
Address
*
Your answer
Name of Current School
Your answer
What grade are you currently in? (2020 - 2021 School Year)
*
Grade 4
Grade 5
Grade 6
Other:
Does your school offer computer classes?
*
Yes
No
Have you ever used Microsoft Word?
*
Yes
No
Have you ever used Microsoft Powerpoint?
*
Yes
No
Do you normally complete projects using a computer program or by hand?
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Computer program
By hand (written)
Do you have access to a computer or laptop with Microsoft Word and PowerPoint that you can use for this camp?
*
Yes
No
Have you ever used ZOOM?
*
Yes
No
What do you hope to learn from this camp?
*
Your answer
How did you hear about this camp?
*
Word-of-Mouth
Social Media
Televison
Radio
School / Teacher
ABIA Website
Other:
Name of Parent or Guardian
*
Your answer
Contact Numbers
*
Your answer
Email Address
*
Your answer
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