Camp Session * 2:00 PM - 5:00 PM
City of Residence * Santa Ana, CA Non-Santa Ana, CA
Do you qualify for free/reduce lunch * Yes No Do not know
Participant Gender * Male Female Non-binary Other
Participant Ethnicity * Caucasian Hispanic/Latino African-American Asian American American-Indian/Native American Pacific Islander Multi-Ethnic Other
Participant Grade Level * 2nd 3rd 4th 5th 6th 7th 8th 9th 10th 11th
Parent/Guardian Email *
Parent/Guardian Phone *
Relationship to Participant *
Emergency Contact Phone *
Doctor Phone *
Would you like to add another Participant Yes No
Participant 2 Gender Male Female Non-binary Other
Participant 2 Ethnicity Caucasian Hispanic/Latino African-American Asian American American-Indian/Native American Pacific Islander Multi-Ethnic Other
Participant 2 Date of Birth
Participant 2 Grade Level 2nd 3rd 4th 5th 6th 7th 8th
Would you like to add 3rd Participant Yes No
Participant 3 Gender Male Female Non-binary Other
Participant 3 Ethnicity Caucasian Hispanic/Latino African-American Asian American American-Indian/Native American Pacific Islander Multi-Ethnic Other
Participant 3 Date of Birth
Participant 3 Grade Level 2nd 3rd 4th 5th 6th 7th 8th
Would you like to add 4th Participant Yes No
Participant 4 Gender Male Female Non-binary Other
Participant 4 Ethnicity Caucasian Hispanic/Latino African-American Asian American American-Indian/Native American Pacific Islander Multi-Ethnic Other
Participant 4 Date of Birth
Participant 4 Grade Level 2nd 3rd 4th 5th 6th 7th 8th