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CODEXCEL 2023 GEEK SQUAD ACADEMY SUMMER CAMP
ENROLLMENT FORM

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sponsored by

TO BE CONSIDERED FOR THE CODEXCEl GSA Summer camp, YOU MUST SUBMIT THIS enrollment form. We have limited number of slots available. register now to reserve your seat! 

 

upon SUBMITTING YOUR APPLICATION OR ATTENDING A CODEXCEL EVENT, you hereby grant permission to VICTORY VILLAGE CORP AND ITS PARTNERS to use applicant information, contact data, and photographs and/or video of THE APPLICANT, THEIR INVITEES, FAMILY, FRIENDS, OR PARTICIPANTS taken on ALL DATES IN 2022-2023 at ALL LOCATIONS in publications, news releases, online, and in other communications related to the mission of VICTORY VILLAGE CORP. you further agree that victory village corp and its partners can contact the applicant and their guardians with the information provided. Thank you!

  • for students ages 10 - 18​​​

Extracurricular Activities
How did you hear about the camp?
Disability (FOR ACCOMMODATION)
Specify food allergies or special diet

Thanks for submitting!

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