GEAR UP Summer Camp 2026

Student Information

First Name

Middle Name

Last Name

Birthdate

Cell Number

Email Address

Student Address

Mailing Address

Country

Street

City

Region

Postal Code

School Information

Student Type (Hidden for the person record)

Current School

Current Grade (I am currently in...)

Parent/Guardian Information

Relation Type (Hidden)

Parent First Name

Parent Last Name

Parent Cell Number

Parent Email

May we send you text messages about our camp and deadlines?

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Additional Information

Are you a first-generation student?
A first-generation student is a college student who is the first in their family (one or more parent does not have a four-year college degree) to go to and graduate from college.

Yes

No

For housing purposes, please choose male or female accommodations

T-shirt size

Thank you