Fillable CS Camp Application 2019 - CS_Camp_Application_2019

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CS Camp Application 2019 - CS_Camp_Application_2019

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Texas Woman’s
Univ
er
sity
CyberCamp 2019
Page%1%
June 17 - June 21, 2019, 8:30am – 2:30pm
TWU Math and Computer Science Department
Application period: February 4 - May 3, 2019
Apply%Early!% Camp%Capacity%is%36%S tudents!%
Application Form
Student%Information%
Student Name (Print):
School Attending:
Grade Level for school year 2019-20:
□ 9
th
Grade □ 10
th
Grade □ 11
th
Grade □ 12
th
Grade
Gender: □ Male □ Female Age:
Camp T-shirt Size (indicate one preferred size):
□ Small □ Medium □ Large □ X-Large
Student’s Name Printed.
Student’s Signature Date
%
Texas Woman’s
Univ
er
sity
CyberCamp 2019
Page%2%
%%Parent/Guardian%Information%
Parent/Guardian Name (Print):
Address:
City: State: ZIP code: _
Parent/Guardian Email (Required):
Parent/Guardian Phone Number:
Parent/Legal Guardian’s Signature Date
Emergency%contact%(If%different%from%above)%
Name (Print):
Relationship to Camper:
Phone Number:
Mobile Number:
Please complete and sign the form (one form per camper).
Return to:
Dr. Jian Zhang by email at TWU.cscamp@gmail.com
Or fax to 940.898.2179
For more information:
Email: TWU.cscamp@gmail.com
Tel: 940.898.2166
All%completed%applications%will%be%reviewed.%
Accepted%participants%will%be%notified%by%email%around%May%10.%%
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CS Camp Application 2019 - CS_Camp_Application_2019

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Completed 18 November 2019

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