APPLY TO ATTEND CYBERCAVE ACADEMY
(Please complete all fields)

Please Select Your First Choice for Camp:
Please Select Your Second Choice for Camp:
(If this is your second year, you can leave this blank.)
Male Female
Birthdate:
First Name:
Last Name:
Address:
City:
State:
Zip Code:
Email:
Phone Number:
Spring Grade Level:  
GPA:  
High School:  

Adult T-Shirt Size:
S M L XL XXL Other

Do you plan to bring a personal computer to use during free time?
Yes No
Will you need internet access?
Yes No

Parent/Guardian Info (Optional if child is over 18)

Parent/Guardian Name:
Parent/Guardian Email:
 
Parent/Guardian Phone:
 
In 100 words or less explain why you should
be selected to attend one of the CyberCave
Academy summer camps. There is no correct
answer; this is an opportunity to let us know
your interest in technology and get to know you
a little bit better.