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| READY | Student Name | Registration Date | Student DOB | Student Age (Read-Only) | City | Student T-Shirt Size (based on adult sizes) | Name of Last School Attended | | Which camp dates are your FIRST CHOICE?(Required) | Which camp dates are your SECOND CHOICE?(Required) | How did you hear about 10X Academy? | If referred by a friend/family, please share how THEY heard about 10X? | If OTHER, please note how your heard about 10X | Please note the name or location of the Street Fair/Community Event | Parent/Guardian Name | Parent/Guardian Phone | Parent/Guardian Email | Requests Or Comments For Camp (Optional) | Health Conditions | Medications | Medical Conditions |
| READY | Student Name | Registration Date | Student DOB | Student Age (Read-Only) | City | Student T-Shirt Size (based on adult sizes) | Name of Last School Attended | | Which camp dates are your FIRST CHOICE?(Required) | Which camp dates are your SECOND CHOICE?(Required) | How did you hear about 10X Academy? | If referred by a friend/family, please share how THEY heard about 10X? | If OTHER, please note how your heard about 10X | Please note the name or location of the Street Fair/Community Event | Parent/Guardian Name | Parent/Guardian Phone | Parent/Guardian Email | Requests Or Comments For Camp (Optional) | Health Conditions | Medications | Medical Conditions |
