2022 NORFOLK STEAM DAY YOUTH FOOTBALL CAMP REGISTRATION Question Title * 1. Student First Name Question Title * 2. Student Last Name Question Title * 3. Student Age 6 7 8 9 10 11 12 13 14 15 16 17 Question Title * 4. Student T-Shirt Size Youth Small Youth Medium Youth Large Youth XLarge Adult Small Adult Medium Adult Large Adult XL Adult 2XL Adult 3XL Adult 4XL Question Title * 5. What school does your student attend? Booker T. Washington H.S. Granby H.S. Lake Taylor H.S. Maury H.S. Norview H.S. Azalea Gardens M.S. Blair M.S. Northside M.S. Norview M.S. Ruffner M.S. Academy of International Studies at Rosemont M.S. Academy for Discovery at Lakewood Grades K-5 Bay View Grades K-5 Camp Allen Grades K-5 Chesterfield K-5 Coleman Place K-5 Crossroads Pre K-8 Ghent K-8 Granby K-5 Ingleside K-5 Jacox K-5 James Monroe K-5 Lake Taylor K-8 Larchmont K-5 Larrymore K-5 Lindenwood K-5 Little Creek K-5 Mary Calcott K-5 Norview K-5 Ocean View K-5 Oceanair K-5 P.B. Young, Sr Pre-2 Richard Bowling K-5 St. Helena K-5 Sewells Point K-5 Sherwood Forest K-5 Southside STEM Academy at Campostella K-8 Suburban Park K-5 Tanners Creek K-5 Tarrallton K-5 Tidewater Park K-5 W.H. Taylor K-5 Willard Model K-5 Berkley/Campostella Camp E.W. Young Easton Preschool Granby Evening School Hospital Ed. Program @ CHKD Hospital Mental Health Hospital Education Program @ CHKD Madison Alternative Center NET Academy Norfolk SECEP Center Norfolk Technical Center (NTC) NTC Evening School Open Campus Willoughby Preschool Question Title * 6. Parent/Guardian Full Name Question Title * 7. Parent/Guardian Phone Question Title * 8. Parent/Guardian Email Address Question Title * 9. Emergency Contact Name Question Title * 10. Emergency Contact Phone Question Title * 11. Any Medical Conditions? Yes No Question Title * 12. If Yes, Please Describe Question Title * 13. Any Allergies? Yes No Question Title * 14. If Yes, Please Describe Question Title * 15. Do we have permission to take photos and video of your child? Yes No Done