Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Your Mobile Phone *

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Parent/Guardian Mobile Phone *

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How did you hear about THRIVE KC (check all that apply)? *

Camp WIN

Email Marketing

Friend

Parent

THRIVE KC Member (please specify below)

Friend of WIN (please specify below)

School

Social Media

Other (please specify below)

If yes, which ones?

Women's Sports Awards

Camp WIN

Triathlon

SHIFT

Other (please specify below)

BLVD Revel Run

What was your involvement (check all that apply)?

Participant

Volunteer

Attendee

Other (please specify below)

Were you a Team Captain at Camp WIN in 2024? *

Yes

No

PERSONAL STATEMENT - In 500 words or less, select and write about one of the following topics: *

Recount a time when you faced a challenge, setback, failure or accomplishment that sparked personal growth. How did it affect you, and what did you learn from the experience?

What would you describe to be your most unique or special skill that differentiates you from everyone else?

Choose one quotation that defines who you are and explain why that quotation describes you so well.

Share on any topic of your choice - please specify topic choice.

PERSONAL REFERENCE #1: Please note that references should be able to discuss your leadership abilities and any demonstrated level of commitment on past projects. *

First Name

Last Name

Phone *

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PERSONAL REFERENCE #2: Please note that references should be able to discuss your leadership abilities and any demonstrated level of commitment on past projects. *

First Name

Last Name

Phone *

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