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* 1. First Name

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* 2. Last Name

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* 3. S# (S1234567)

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* 4. Classification

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* 5. Major

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* 6. Email Address

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* 8. Mailing Address

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* 9. Any Medical Allergies

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* 10. Emergency Contact (Name, Email, Phone)

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* 11. Please explain why this camp would enhance your educational or career goals.

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