Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone Number *

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Parent/Guardian Mobile Phone *

(###)

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How did you hear about Thrive KC? *

(###)

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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)

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?

June 2-5

June 9 -12

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

What is one skill or quality about you that makes you stand out from others? How do you implement that skill/quality?

Tell us about a time you faced a challenge, setback, or failure. What happened, and what did you learn about yourself through the experience?

Describe a moment or experience that helped shape who you are today. What did you learn from it.

Tell us about a time you had to step out of your comfort zone. What happened, and how did it change you?

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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