Youth Summer Camp ages 12 - 18 

Youth will have an increased knowledge of their rights and what do if stopped by law enforcement, how to self advocate and increased self esteem.
Monday, June 28th - Friday, July 2nd
8:00 am - 4:00 pm
Interpreter Available Upon Request 

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* 1. Registration Form

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* 2. Please describe your race/ethnicity.

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* 3. What is your students disability, if any?

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* 4. Student(s) name (fist, last):

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* 5. Student(s) date of birth:

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* 6. Student(s) age:

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* 7. Student(s) T- Shirt size:

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* 8. Please list Emergency contact. 

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* 9. Please list any dietary restrictions your student has (vegan, vegetarian, gluten-free, dairy- free, etc.):

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* 10. Please list any medical conditions your student has, including allergies.

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* 11. THRIVE Center will be providing transportation. Please select pick up/ drop off location. Students will be dropped off at selected locations between 4:15pm - 5:00pm.

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* 12. List Name, Email and Phone Number of authorized person to pick up student. (Identification will be required upon pick up)

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