What you need to apply to Summer Activity Club or CalTech Fine Arts
1. A yearning to have a great time, meet new friends, and make the most of your spare time.
2. A completed application form with signature.
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Admission Application for all CalTech programs |
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Students Name |
Date of birth |
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Fathers Name Cell Phone |
Mothers Name Cell Phone |
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Name of Guardian |
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Cell Phone |
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Relationship |
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Home Address |
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Home Phone |
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Emergency Contacts |
1 |
Phone |
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2 |
Phone |
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3 |
Phone |
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Medical conditions: |
Allergies |
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Note: Epipens must be provided and updated by parent and carried by the student at all times. |
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Food Restrictions |
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What medication is this student taking? |
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Is there anything we need to know about this student ? |
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What kinds of things worry or upset this student? |
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Does this student usually enjoy a learning environment? |
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Who do we release this student to at the end of the day? |
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I acknowledge that all statements are true. |
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I give my permission to CalTech and its associates to use this information when necessary. |
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Signature of Parent/Guardian _______________________________________________ |
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