9th Annual Manufacturing Technology Summer Camp Application, July 26 - 29 STIHL Inc. Virginia Beach, VA
Student Information
Name
*
First Name
Last Name
Preferred Name (If Different)
Preferred Gender Pronoun
Please Select
he/him
she/her
they/them
other
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent(s)/Guardian(s) Information
Please list in order of whom to contact first
*
Emergency Contact Information
Full Name - If different from parent/guardian
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Medical Contact Information
Family Doctor
First Name
Last Name
Clinic
Phone Number
Please enter a valid phone number.
Please list any allergies, medical issues, or required medications we should be aware of
*
Will you need any additional accomodations, e.g. wheelchair access, large-print materials, etc?
*
Yes
No
School Information
High School Name
*
2023-2024 School Year Grade Level
*
Please Select
9th
10th
11th
12th
Current GPA
*
Extracurricular Activities
Awards
STIHL Camp Information
Do you have a family member or guardian who works or has worked for STIHL?
*
Yes
No
Have you attended STIHL's Manufacturing Technology Summer Camp previously?
*
Yes
No
How did you hear about the camp?
*
What is your T-Shirt size?
*
Please Select
XS
S
M
L
XL
XXL
XXXL
Submit
Should be Empty: