CHOOSE Tuesday, June 11 or Wednesday, June 12 | SAPULPA

Deadline to apply is April 25, 2024.

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* 1. Please indicate which camp date you prefer.

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* 2. Student First and Last Name

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* 3. Emergency Contact

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* 4. School District

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* 5. What grade will the student be entering in the fall, August 2024?

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* 6. Choose T-shirt Size

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* 7. Food Allergies?

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* 8. CONSENT: Photo/Video Release:

By selecting "yes," I, as the parent/guardian, authorize Central Technology Center (Central Tech) to freely use, publish, and display any videos, voice recordings, or photos featuring my child. This content may be edited and used in materials to promote technical education, benefiting Central Tech. I relinquish any rights to approve the final products or how they're used.

I release Central Tech from any liability related to this content's creation and use. Central Tech owns all rights to the materials and may copyright them. I understand I won't be compensated, and the content won't negatively portray my child.

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* 9. CONSENT: Medical Release

As parent/guardian, by checking "yes," it is understood that consent is given in advance of any emergency, diagnosis, or treatment required while the student is participating in CT Explorers, summer camp, activities and, that this medical release authorizes designated school personnel to exercise their best judgement should action be warranted to ensure student's safety, life, and health.

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* 10. If medication is currently being taken, please provide name of medication(s).

NONDISCRIMINATION
It is the policy of Central Tech not to discriminate on the basis of race, color, national origin, sex, disability, and age in any of its policies, practices or procedures. Direct inquiries regarding this policy to the Assistant Superintendent, at 3 CT Circle, Drumright, OK 74030, or 918.352.2551.

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