Student Information

Registration will be open October 1 through October 22, 2024. Please submit your registrations as soon as possible as only 150 students will be able to participate.
Please complete registration and mail or email to:
Gina Kimball - Admissions Specialist
Western Dakota Technical College
800 Mickelson Drive
Rapid City, SD 57703
Gina.Kimball@wdt.edu
605-718-2966
Date of Camp: October 29, 2024
Time: 8:45am - 2:45pm
Location: Western Dakota Technical College
800 Mickelson Drive
Rapid City, SD 57703
Lunch will be provided.

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* 1. Student Name

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* 2. Student Email

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* 3. Phone Number (Optional)

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* 4. Which race/ethnicity best describes you? (Please choose only one.)

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* 5. What school are you currently attending?

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* 6. What grade are you in?

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* 7. Have you previously attended a Scrubs Camp?

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* 8. I understand that Scrubs Camp is meant to be an educational function. By checking "Yes" below, I understand that if my behavior is deemed unacceptable, my school and parents will be notified and I will be sent home. I also understand that my negative actions could send other students from my school back home.

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* 9. By checking "Yes" down below and signing my name on the next page, I promise to act in a respectful manner and be the best representative of my school.

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