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2019 Summer 500: Student Registration Form

  1. Student Information

  2. Gender*

  3. Are you at least 16 years old?*

  4. Do you have reliable transportation?*

  5. Primary Language*

  6. T-Shirt Size*

  7. What field of work would best fit you? (check all that apply)*

  8. Do you have any scheduled vacation plans this summer?

  9. Do you have a bank account?

  10. Are you currently employed or have a summer job other than this program?*

  11. Do you have a criminal history? *Having a criminal history does not disqualify you.*

  12. Are you willing to participate in an initial drug screening?*

  13. Parent/Guardian Information

  14. Leave This Blank:

  15. This field is not part of the form submission.