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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your preferred name that you wish to be called during the program?

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* 4. What is your cell phone number which you can be reached prior to and during the program (include area code)?

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* 5. What is your unisex shirt size?

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* 6. I will be arriving at Shad Carleton by

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* 7. Flight Number/Train Number/Bus Number

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* 8. Arrival Time at Shad Carleton on Sunday, June 29, 2025

Time

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* 9. The city I will be arriving from is

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* 10. I will be departing Shad Carleton on Friday, July 25, 2025 at

Time

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* 11. Flight Number/Train Number/Bus Number

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* 12. Are there any medical conditions or information that we should be aware of? (this will be held confidentially with the Program Director)

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* 13. Do you have any dietary needs that we should be aware of? Is so, please list below.

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* 14. Do you have any allergies? If yes, please list them and your usual reactions. Be as specific as possible.

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* 15. Do you have any medical alerts that we need to know about in the event of an emergency? 

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* 16. Do you require any accommodations that we should be aware of?

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* 17. What is your absolutely favourite healthy snack?

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* 18. What are your favourite summer sports or recreational activities?

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* 19. What instruments (if any) do you play and would be interested in playing at Shad?

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* 20. What are you most interested in learning about at Shad?

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* 21. What are you Top 3 Goals for Shad 2025?

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* 22. Complete the following Personality Test (https://www.16personalities.com/free-personality-test) and please provide your results here:

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* 23. Is there anything you would like to let Amanda know at this time? 

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