Nursing Camp

The camp includes staying in the on-campus residence halls for the week. Each attendee will receive their meals each day along with a camp t-shirt

Camp Attendee Information

First Name *

Preferred Name

Last Name *

Gender:

Mobile Phone *

Email Address *

Mailing Address *

Country

Street

City

Region

Postal Code

High School

Graduation Year *

T-Shirt Size *

List any food allergies (if applicable)

Parent/Guardian Information

Parent/Guardian First Name *

Parent/Guardian Last Name: *

Parent/Guardian Phone Number: *

Parent/Guardian Email Address:

I have attended this camp in the past.

Which of the following best describes you?

Which of the following describes the highest educational background for any of your parents?

Coupon Code:

Press tab or click off the box after entering the code for it to take effect.

Amount Due
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Amount Due