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Applicant Information

If you have multiple children applying, please do each child separately. 

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* 1. What is your (Student) first name?

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* 2. What is your (Student) last name?

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* 3. What is your current Grade?

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* 4. Who is your Rebbe?

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* 5. What is your Mother's cell phone number?

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* 6. What is your Mother's Email address?

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* 7. What is your Father's cell phone number?

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* 8. What is your Father's email address?

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* 9. Do you have any siblings in the Sports Bonanza this session?

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* 10. Were you a counselor for other sessions of sports?

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