Application

Student Info

Name(Required)

First Last

Date of Birth(Required)

Age(Required)

Gender(Required)

Address(Required)

Street Address City State ZIP / Postal Code

Youth's Email (if applicable)

Current Grade Level(Required)

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Name of Current School(Required)

Shirt Size(Required)

Food Allergies? If so, please list(Required)

Responsible Adult Info

please note: Only 1 adult can attend per child due to space restrictions

Name(Required)

First Last

Relationship to Student(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Parent's Email(Required)

Phone(Required)

Opt-in to our email list

Food Allergies? If so, please list(Required)

What event are you looking to attend?(Required)

Please specify(Required)

How did you hear about the program?(Required)

Have you ever attended a CF: Vet For A Day program?(Required)

If so, please specify which program and year.(Required)

Question #1: What is your favorite animal? Why?(Required)

Question #2: What is your favorite subject in school? Why?(Required)

Question #3: Why are you interested in being a veterinarian?(Required)

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