Western Dakota Tech Scrubs Camp Student Registration 2026

Student Information

Date of Camp: November 4, 2026
Time: 8:45am - 1:00pm (MDT)

Location: Western Dakota Technical College
800 Mickelson Drive
Rapid City, SD 57703

Juniors and Seniors get first choice! Space is limited to 90 students, so be sure to submit your registration as soon as you can.

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1. Student Name

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2. Student Email

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3. What school are you currently attending?

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4. What grade are you in? (Please select one.) (Required.)

9th

10th

11th

12th

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5. Have you previously attended a Scrubs Camp?

Yes

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6. How did you hear about Scrubs Camp? (Required.)

School Counselor

Teacher

Friend or Classmate

Department of Health website or social media

Online Search (Google, etc.)

Past Scrubs Camp participation

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7. I understand that Scrubs Camp is an educational program, and I agree to follow all rules and instructions. If I behave inappropriately, I may be sent home, and my school and parent/guardian may be notified. By checking ‘Yes,’ I agree to act respectfully and represent my school well.

Yes

Western Dakota Tech Scrubs Camp Student Registration 2026

Student Information

Question Title

* 1. Student Name

Question Title

* 2. Student Email

Question Title

* 3. What school are you currently attending?

Question Title

* 4. What grade are you in? (Please select one.) (Required.)

Question Title

* 5. Have you previously attended a Scrubs Camp?

Question Title

* 6. How did you hear about Scrubs Camp? (Required.)

Question Title

* 7. I understand that Scrubs Camp is an educational program, and I agree to follow all rules and instructions. If I behave inappropriately, I may be sent home, and my school and parent/guardian may be notified. By checking ‘Yes,’ I agree to act respectfully and represent my school well.

1. Student Name

2. Student Email

3. What school are you currently attending?

4. What grade are you in? (Please select one.) (Required.)

5. Have you previously attended a Scrubs Camp?

6. How did you hear about Scrubs Camp? (Required.)

7. I understand that Scrubs Camp is an educational program, and I agree to follow all rules and instructions. If I behave inappropriately, I may be sent home, and my school and parent/guardian may be notified. By checking ‘Yes,’ I agree to act respectfully and represent my school well.