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2. APPLICANT INFORMATION
4. First Name of Participant*
5. Last Name of Participant*
6. Date of Birth*
   Date of Birth

   If selected, under 18 will require guardian/parent approval to participate.

8. Gender
9. Address*
10. City*
12. Phone Number*
13. Email Address*
14. High School*

    Name of the high school you are CURRENTLY ATTENDING or the high school you will be ATTENDING THIS FALL 2022.

16. First Name of Parent/Guardian*

    Name of Parent/Guardian if under 18

17. Last Name of Parent/Guardian*
19. Parent/Guardian Email Address*
20. Parent/Guardian Phone Number*
22. Youth Academy Sessions

    Available spots for each session are limited to 15. Select the academy you are applying for. If the spots are filled and you would like to be considered for the other session,  select it as your alternate choice. Submit your application by May 19th.

24. I am applying for:

    1. Academy Session #1- June 12th-June 23rd
    2. Academy Session #2- July 24th-Aug. 4th
25. If spots are filled, I would like to be considered for:

    1. Academy Session #1- June 12th-June 23rd
    2. Academy Session #2 - July 24th-Aug. 4th
27. Academy Orientation*

    1. I understand that if I would like to be considered for Session #1, I must attend a mandatory orientation WITH my parent/guardian on Saturday, May 27th from 10am-12pm.
    2. I understand that if I would like to be considered for Session #2, I must attend a mandatory orientation WITH my parent/guardian on Saturday, July 8th from 10am-12pm.
29. Attending the Summer Youth Academy requires your commitment as a youth to participate fully for two weeks. Tell us why you would like to attend. You can write your answer or upload a video- whichever you are more comfortable with.

    Write your answer to the above question in English or Spanish. Whichever language you are most comfortable writing in.

31. Option 2: Video Upload

    Upload a video answering the above question in English or Spanish- whichever language you are most comfortable speaking. Keep your video to no more than 2 minutes in length.

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33. 1. Receive an email copy of this form.
34. Email address

    This field is not part of the form submission.

35. Submit Submit and Print

* indicates a required field