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UBMS 2025 Summer Enrichment Program Confirmation
Confirmation Form
WE WILL BE COMMUTING THE FIRST TWO WEEKS AND RESIDENTIAL FOR THE LAST FOUR WEEKS THIS SUMMER.
Once we reach capacity, students will be added to the waiting list for the residential component. Students who wish to commute for the duration of the program are free to do so, but transportation will not be provided for weeks 3-5.
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Name
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First
Last
Gender
Male
Female
Prefer not to say
High School
*
Grade NEXT year (2025 - 2026)
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Please select
9th
10th
11th
12th
Cell Phone
*
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Email
*
Summer Program Participation (6/23 - 8/1)
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I will be participating in the UBMS Summer Program this year.
I will only be able to participate in some of the Summer Program.
I will not be participating in the Summer Program this year. (Reason)
Summer COMMUTING Transportation (6/23 - 7/3)
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I will ride the bus during the first two weeks.
I will get a ride or walk the first two weeks.
T-shirt size
*
Please select
S
M
L
XL
XXL
XXXL
Do you have any potential conflicts or planned absences during the five weeks of the summer program? If so, please give dates and explanations below.
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Yes
No
Date
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YYYY
Reason
Date
MM
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DD
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YYYY
Reason
Date
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DD
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YYYY
Reason
If you have roommate preferences, list the person/people here.
1st Choice
2nd Choice
3rd Choice
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