Fall Career Camp 2024

9:00AM - 2:30PM

Saturday, November 23, 2024
Monday, November 25, 2024
Tuesday, November 26, 2024
Wednesday, November 27, 2024

Make-up Day: Saturday, November 30, 2024

1. Have you previously participated in one of our Career Camps?

3. Are you the parent or legal guardian?

4. What is your First and Last Name?

First NameLast Name

7. What is your email address?

example@example.com

5. What is your child's first and last name?

First NameLast Name

6. What is the age of your child?

7. What is your child's email address

example@example.com

8. What is your phone number?

Area CodePhone Number

9. Home Address

10. Zip Code

Stret Address

Street Address Line 2

Postal / Zip Code

11. How old is your child?

12. What school does your child attend?

13. Please select the option that best applies to your child.

14. The student must complete the entire program for our organization to remain in compliance with State requirements.

15. Does your child have any allergies? If so please indicate below

16. What industry is your child interested in?

17. Does your child have any medical conditions that staff should be aware of? Such as a seizure disorder or asthma? If so, please describe below:

18. Does your child have any allergies?

19.Does your child have any dietary restrictions?

20. How did you hear about our program?

21. Please list any accommodations needed if any:

Please write down anything that you'd like us to know to best assist your child during the program.