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Los Angeles Urban League BizCamp Application
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* Indicates required question
Student Name
*
Your answer
Address
*
Your answer
City
*
Your answer
State
*
Your answer
ZIP Code
*
Your answer
Home Phone
*
Your answer
Student's Cell Phone
*
Your answer
E-mail Address
*
Your answer
Best Time To Reach You By Phone:
*
Your answer
Age:
*
Your answer
Date of Birth:
*
Your answer
Gender:
*
Your answer
School Name
*
Your answer
School Address
*
Your answer
Current Grade Level
*
Your answer
How did you hear about the camp?
*
Choose
At School
Email
Facebook
LinkedIn
Instagram
Los Angeles Urban League
Recycling Black Dollars
Church
Does your school have a "Free Lunch" program?
*
Yes
No
Required
Have you ever taken NFTE in school, summer program, or with an after-school program?
*
Yes
No
Required
Parent / Guardian Name:
*
Your answer
Parent / Guardian Email:
*
Your answer
Parent / Guardian Work Number:
*
Your answer
Parent / Guardian Cell Number:
*
Your answer
Parent / Guardian Facebook:
*
Your answer
Meal Requirements:
*
Regular Menu
Vegetarian
Vegan
Required
Please specify any food allergies if applicable:
*
Your answer
Shirt Size
*
Child Small
Child Medium
Child Large
Child XL
Adult Small
Adult Medium
Adult Large
Adult XL
Adult 2XL
Adult 3XL
Required
Transportation Method?
*
For your child
Choose
Drop Off & Pick Up
Driving Self
Bus
Walk
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