Data Chica

Step 1 of 6

Student & Parent Information

The purpose of this form is to collect basic demographic information about your family, medical needs your student has, and an authorized list for pick-up and drop-off.

What Latinitas Camp week will your student participate in? Please select all that apply. *

Austin

Architecture Chica (Austin) - June 8th to 12th

Digital Chica (Austin) - June 15th to 19th

Science Chica (Austin) - June 22nd to 26th

Design Chica (Austin) - July 6th to 10th

Engineer Chica (Austin) - July 13th to 17th

San Antonio

Architecture Chica (San Antonio) - June 8th to 12th

Design Chica (San Antonio) - June 15th to 19th

Student's First Name *

Student's Last Name *

Student's Date of Birth *

Student's School Attended

Parent/Guardian First Name *

Parent/Guardian Last Name *

Parent/Guardian Phone Number *

Parent/Guardian Email Address *

Best method of contacting you *

EmailTextPhoneNo preference

Can this number receive text messages? *

YesNo

What is your preferred language for communication with Latinitas staff? *

EnglishSpanish

Would you like to be added to our WhatsApp group for camp announcements and updates?

YesNo

Alternate Emergency Contact Person's Name *

Alternate Emergency Contact Person's Phone Number *

2026 Camp Intake

Student & Parent Information