Sacramento 2021 CyberCamp Registration Form

Please fill all boxes

Students Name

First Name

Last Name

Students Email

School Name

What grade is the student in for the 2020-2021 school year?

Student's Age

Parent/Guardian Name

First Name

Last Name

Parent/Guardian Email

Parent/Guardian Phone Number

Home Zip Code

Choose Week

Has your student ever participated in cybersecurity classes, camps, or training in the past? When/where was the event or class? *