2025 HACTC Summer Tech Camp Application

2025 HACTC Summer Tech Camp Application

Open to students entering grade 7, 8, or 9 in the fall of 2025. This camp will be held in the mornings from June 23-27, 2025.
Camper Name*
Nickname/Preferred Name for name tag
He/Him/HisShe/Her/HersThey/Them/TheirsOther
Current School*
678
Date of Birth*

MonthDayYear
Date
Home Phone
Format: (000) 000-0000.
Home Address
In case of emergency, contact:
Parent/Guardian 1 Name*
Parent/Guardian 1 Work Phone
Format: (000) 000-0000.
Parent/Guardian 1 Cell Phone*
Format: (000) 000-0000.
Parent/Guardian 1 Email*
example@example.com
Parent/Guardian 2 Name
Parent/Guardian 2 Work Phone
Format: (000) 000-0000.
Parent/Guardian 2 Cell Phone
Format: (000) 000-0000.
Parent/Guardian 2 Email
example@example.com
Emergency Contact Name
Home Phone
Format: (000) 000-0000.
Cell Phone
Format: (000) 000-0000.
Work Phone
Format: (000) 000-0000.
Take the bus (if available)Be picked upOther
My camper would prefer to be grouped with the following other campers if possible (1 or 2 names)
YesNo
If yes, to what:
YesNo
Please list all medications camper takes
YesNo
If yes please indicate/describe here
Please describe any educational or behavioral support your child receives at school that would be helpful for our instructors to understand, such as IEP or 504 accommodations.
YesNo
YesNo
ParentGuardian Signature
Date

MonthDayYear
Date
The HACTC provides educational opportunities without regard to race, color, creed, national origin, religion, sex, disability, sexual orientation, gender identity, or any other characteristic protected by state or federal law.

Questions? Contact Jennifer Thygesen, Outreach Coordinator, HACTC, 1 Gifford Road, White River Junction, VT 05001; 802-295-8630 or email thygesenj@hartfordschools.net

Thanks to generous grant funding, HACTC Tech Camp will be provided to campers free of charge this year. Camp spots will be available on a first come, first served basis.
Enrollment is limited - register today!

Updated HACTC camp guidelines and expectations, a list of final activities, and bus options (if available) will be sent to registered campers at least a week prior to camp.
Should be Empty:

2025 HACTC Summer Tech Camp Application

In case of emergency, contact: