1. Contact Information

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* 1. Name:

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* 2. Grade:

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Grade:

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* 3. What school do you attend:

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* 4. Cell phone:

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* 5. Email:

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* 6. Emergency Contact:

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* 7. Emergency Contact:

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* 8. I would like to attend:

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* 9. How would you like to receive notifications:

Mahalo for signing up for our Summer Software Camps! An email will be sent to you verifying your registration. If you have any questions, please email mapu@medb.org.

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