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Summer Camp Project -Form Fill

Section One
Q1

Name

First Name
Q2

Name

Last Name
Q3

Gender
Q4

Age
Q5

Date of Birth

Date
Q6

Phone Number
Q7

Email
Q8

Address

Street Address
Q9

Address

Street Address Line 2
Q10

Address

City
Q11

Address

State / Province
Q12

Address

Postal / Zip Code
Q13

Grade Level
Q14

School Name
Q15

Kindly upload your picture here
Q16

Parent/Guardian Name

First Name
Q17

Parent/Guardian Name

Last Name
Q18

Relationship
Q19

Parent/Guardian Phone Number
Q20

Parent/Guardian Email
Q21

T-Shirt Size
Q22

What is your reason for joining the virtual summer project?
Q23

What do you expect to learn from this summer project?
Q24

Do you have the following tools and equipment needed in this virtual summer project?
Q25

Select a program/project
Q26

Payment Method
Q27

Any comments or suggestions?
Q28

Do you have any special instructions?
Q29

How did you learn about us?
Q30

Would you like to receive email notifications from us?