Escape the School Event
Event Date: December 2, 2017
Event Time: 9:00 AM - 3:30 PM
Address: Paul D. Camp Community College's Hobbs-Suffolk Campus 271 Kenyon Road Suffolk, Virginia 23434
Contact us at (757) 233-8686 or (757) 925-6354
Email address *
Name *
Your answer
Phone Number
Your answer
Address
Your answer
Which High School do you attend? *
If you answered "A different high school than listed", please list your high school below
Your answer
What year will you be graduating *
Are you a part of a organization, club, sport, team competing in this event *
Required
If you are a part of a team, organization, club competing in this event, who is your sponsor or contact person?
Your answer
Which Escape Room would you like to participate within? (Please mark your top 3 choices) *
Required
Is there someone you would like to be on the team with? Please list their name below.
Your answer
Would you like for your information to be available to any of the participating vendors for contact after the event?
Do you have any allergies? *
Required
Do you have any medical concerns that you would like us to be aware of for the event? If so please, share below.
Your answer
Are there any special accommodations that we may need to be aware of to make your participation easier?
Your answer
Emergency Contact Information - Name *
Your answer
Emergency Contact Relationship
Emergency Contact Information - Phone *
Your answer
Thank you for signing up for the Escape Room Event.
This event is completely FREE. Photos of participants, escape rooms, and vendors will be used for promotion and display for Paul D. Camp Community College, Local High Schools, Opp Inc., and local media outlets (newspaper, television, etc). Please let us know in writing to sstubenrauch@pdc.edu if you would like your image excluded. We hope you have a wonderful time!


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