2023 - BCTC Summer Camp Waitlist Form

BCTC Career Camp Waitlist Form
IF YOU ARE UNABLE TO COMPLETE THIS FORM ONLINE, PLEASE CONTACT RC YOUSE, CAREER CAMP COORDINATOR, BY EMAIL AT RCYOUSE@BERKSCAREER.COM.
Thank you for your interest in BCTC's Summer Career Camp! At this time, all spots are filled. However, by completing the information below, you will be placed on our waitlist.

All waitlisted campers will be contacted by Monday, May 22nd, via email as to whether or not spaces have opened. Students will be contacted in the order this form is received.

Please complete the information below in its entirety to confirm your spot on the waitlist.
Student Information

Please complete the following section regarding your student.
Student Name:*

First NameLast Name
School Information

Used for reporting purposes.
Current School Name*
School District Name*
Grade for Next School Year:*
Family Information

Used for contact purposes.
PRIMARY Parent/Guardian's Name:*

First NameLast Name
PRIMARY Contact Phone Number:*

Area CodePhone Number
PRIMARY Mobile Number:

Area CodePhone Number
PRIMARY Email Address:*
example@example.com
SECONDARY Parent/Guardian's Name:

First NameLast Name
SECONDARY Contact Phone Number:

Area CodePhone Number
SECONDARY Mobile Number:

Area CodePhone Number
SECONDARY Email Address:
example@example.com
Signature*

Clear
Date

MonthDayYear
Should be Empty:

BCTC Career Camp Waitlist Form