2022 ELI Acceptance ELI Acceptance Paperwork ELI Acceptance Paperwork 0% Complete1 of 8 ELI Acceptance Paperwork Below is the 2022 ELI Acceptance Form Please read this form carefully before submitting as it includes information regarding medical care and rules and regulations for camp. Please submit the form by the April 18th deadline. If you do not fill out the form by the deadline, you will forfeit your position in the program. There are 7 sections on this form. Be prepared for the following: -Section 1: Contact Information - Your basic information -Section 2: Parent Information - You will need emergency contact information -Section 3: Important Note to Parent(s)/Guardian(s) -Section 4: Code and Conduct -Section 5: Media Release -Section 6: Health Insurance and Release Form: Upload a front and back copy of your health insurance card. -Section 7: Community Service Section 1: Contact Information County of School * First Name * Last Name * Please list your preferred name if different from your legal name. This will go on your name badge. School Name * Current high school grade level * Select your current grade level 9th Grade 10th Grade 11th Grade Date of Birth * Shirt Size * Please select an shirt size XSmall Small Medium Large XL XXL 3XL Student Email Address * Please use an email that you check on a regular basis. Parent/Guardian Email Address * Please use an email that you check on a regular basis. Mailing Address * City * State * Zipcode * Acceptance into the ELI Program * YES! I accept my selection in the ELI program. No, I will not be able to participate. If this is the case, please do not fill out the rest of the form and call Allison Cross at 606-307-0561. If you are human, leave this field blank. Continue Δ
