Ready to join the fun? Complete this registration form to reserve your spot in our exciting 1-Day Nursing Camp! Students may choose from two camp date options: July 9 at the Sanilac Career Center or July 16 at the Tuscola Technology Center. Both camps offer the same hands-on activities and experiences, so students only need to attend one session.
This form will take about 5 minutes to complete and will collect student contact information, parent/guardian information, and required consent forms needed to participate. Once your registration is submitted, our team will contact you with next steps and additional camp details. We can’t wait to help you explore the exciting world of nursing through interactive skills, simulations, and fun healthcare experiences!

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* 1. Today’s Date

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* 2. Student's First Name

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* 3. Student's Last Name

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* 4. What camp are you interested in attending?

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* 5. We will be hosting a FREE trip to Central Michigan University in August for additional hands-on Nursing Career Exploration. Transportation & Lunch will be provided. Are you interested in attending?

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* 6. Student's Date of Birth

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* 7. Student's Age

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* 8. Student's Gender

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* 9. Student's Ethnicity

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* 10. Student's Race

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* 11. Student Phone Number

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* 12. Student Email Address

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* 13. Student Secondary Email is needed. Some emails (like school accounts) may not allow all emails to be received from outside contacts, so please provide another email address.

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* 14. Student Address

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* 15. Student's School

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* 16. Grade Level in Fall 2026

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* 17. Shirt Size:

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* 18. Does the student have any dietary restrictions or allergies?

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