NTC - College Career Camp

College Career Camp

Thanks for choosing to join us June 23-27, 2008. Once you fill out this form, you will be prompted to print and mail the completed form, along with a check made payable to NTC, for the half-day or full-day camp that your son or daughter will attend.

* Indicates Required Fields

My son or daughter would like to attend: *

	College Career Camp Half-day camp ( 8:30 AM - 12:00 PM ). Fee $70

Class Choices:
	First Choice	*
	Second Choice	*
	Third Choice	*
	Fourth Choice	*

Child's Information

First Name: *		Last Name: *
Address: *		Address 2:
City: *		State: *
Postal Code: *
Phone: *	-
Family Email: *		Date of Birth: *

Educational Information

Fall 2008 School: *
Grade Entering in Fall: *


	Through the generosity of the Dudley Foundation, the $70.00 application fee is waived for students who qualify for free and reduced lunch.By checking this box you are indicating that your son or daughter is elgible for free or reduced lunch. Please verify with your signature below.

Emergency Medical Information

Parent Contact Info.
First Name: *		Phone number where I can be reached during camp: *
Last Name: *		-

Other Contact Info.
First Name: *
Last Name: *
Phone Number: *	-

NorthCentral Technical College - 1000 W. Campus Drive, Wausau, WI - 715.675.3331