Apply From BAUDL

Student's Name*

First Last

Program*

Commuter?*

Student's Age in June 2024*

Please enter a number from 11 to 19.

Student's Phone

Student's Email*

Student's Gender*

T-shirt Size

Parent's Name*

First Last

Parent's Cell Phone*

Parent's Email*

Name of School Student Attends*

Coach's Name (if applicable)

Coach's Email (if applicable)

Skill Level*

How many year's experience does the student have?*

Please enter a number from 0 to 8.

Partner Request (optional)

Roommate Request (optional)

Lab Leader Request (optional)

Any other information we should know?

CNDI