Activate an optimized version of the page designed specifically for screen readers.
Outdated browsers can expose your computer to security risks. To ensure a secure experience, we recommend updating to the latest browser version. Support for this browser version will soon be discontinued.
This health questionnaire is divided into three sections. The first section asks about information pertaining to the student. The second section asks about information pertaining to the parent/guardian of the student and the student's chaperone. The third section is the consent section that needs to be completed by a parent or guardian.
Student First Name
Student Last Name
Student Home Street Address
Student Home City
Student Home State