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Yukon
Other
Zip
Phone
Email Address
Parent(s) Name
Parent Phone
What is your gender identity? (Gender identity means how you feel as a girl, boy, both, or neither)
Female
Male
Non-binary
Gender non-conforming
Genderqueer
Transgender girl
Transgender boy
I choose not to respond
Other (Self-Identify)
Gender Self-Identify
What is your ethnicity?
African American / Black
American Indian / Alaskan Native
Asian / Asian American
Hispanic / Latino / Latina / Latinx
Middle Eastern / African
Native Hawaiian / Asian Pacific
White / Caucasian (Not of Hispanic origin)
Another Race (please share if you feel comfortable)
I choose not to respond
Ethnicity Other
T-Shirt Size
(Please select a size)
Ladies XS/2
Ladies S/4-6
Ladies M/8-10
Ladies L/12-14
Ladies XL/16-18
Grade
6
7
8
School District
School Name
Scholarship Needed?
No
Yes
Returning Student?
No
Yes
How did you hear about us?
(Please Select an Option)
From a past participant
Facebook
School official - teacher, counselor, assistant
GraysHarborTalk.com
ThurstonTalk.com
Online Calendar (which one?)
Mason County Journal
The Daily World
Centralia Chronicle
Radio (Which station?)
Peachjar
Other (Please specify)
Details
Who referred you to us?
Last name
Special Needs / Comments / Requests
Please note: Requests for placement in classes with other students must be mutual to be considered and are not guaranteed.
Dietary Restrictions