Software Camp 2015: MAUI SUMMER SERIES - PHOTOSHOP & WEB 2015

1. Contact Information

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* 1. Name:

First:

Last:

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* 2. Grade:

	6	7	8	9	10	11	12
Grade:	Grade: 6	Grade: 7	Grade: 8	Grade: 9	Grade: 10	Grade: 11	Grade: 12

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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:

Name:

Relationship:

Phone #:

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* 7. Emergency Contact:

Name:

Relationship:

Phone #:

Mahalo for signing up for MEDB Women in Technology STEMwork's Software Camps! This confirms your registration to attend. If you have any questions, please feel free to contact us at our main office at 808.875.2300.