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SDSP Application

Application and Payment Information

Applications received by May 1, 2025 will be given priority.
Eligibility: The SDSP is for incoming sophomores only. An interview with parents and students is required.
Cost: $725. Rate of $600 for students volunteering with other Wespine or YSI Activities
Please submit a deposit of $100 with your application.
Financial considerations should not prevent anyone from attending. Please inquire about payment plans and scholarship possibilities.

Personal Information

Student Name

First Name

Last Name

Father's Name

First Name

Last Name

Mother's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Home Phone

(###)

###

####

Cell Phone

(###)

###

####

Emergency Number for Parent

(###)

###

####

Student Email Address

Parent Email Address

Date of Birth

YYYY

Education

School Currently Attending

Grade Point Average

Extracurricular Activities

High School (if known at time of application)

Miscellaneous

Medical Insurance Company

Medical Insurance Group Number

Medical Insurance Policy Number

Medical Insurance Phone Number

Electronic Signature for Medical & Photo Release

As the parent or legal guardian of the participant identified on this registration, I hereby delegate authority to the Directors of "South Dakota Service Project" to arrange whatever medical treatment they deem necessary for him during the activity. Also, I hereby authorize and consent to the use and reproduction by Wespine staff or an authorized agent or assignee of any and all photographs taken of the above-named applicant for the purpose of promoting Wespine programs, without any compensation to me. All film, together with any prints, shall constitute property of Wespine, solely and completely.

Reference

Who recommended this program to you?

Comments

Please include any dietary restrictions or medical conditions.