Long Beach City College: Nuts Bolts & Thingamajigs Summer Manufacturing Camp
Registration for youth 14-18 years old for the July 15 - July 19, 2019 manufacturing camp at LBCC. Registrations must be completed by a parent or guardian. Maximum number of students is 20 and acceptance is on a first come, first served basis.

Please note: your information will not be shared and will only be used to register a student for the camp.

I understand that students may not register themselves, and I certify that I am a parent or guardian registering for a student. *
Required
I understand that students must be between 14 and 18 years of age as of July 15, 2019 in order to participate in the camp and certify that the student I am registering meets this requirement. *
Required
Parent/Guardian's First Name *
Your answer
Parent/Guardian's Last Name *
Your answer
Parent/Guardian's Email Address *
Your answer
Parent/Guardian's Phone Number *
Your answer
Student's First Name *
Your answer
Student's Last Name *
Your answer
Student's Date of Birth *
MM
/
DD
/
YYYY
Student's High School *
Your answer
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service