MediCamp 2023 Registration Form

*Please note that a student's spot in MediCamp is not finalized until payment is received.

Payment can be made online at: bit.ly/NWHSMediCampPay or by mail or delivery to the attention of Brandy Walker at Northwest High School.
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Camper's Name *
Camper's Age *
Camper's School Grade in August 2023 - MUST be one of the choices listed below *
Camper's School in August of 2023 *
Parent/Guardian Name
Parent/Guardian Email *
Emergency Phone # *
Camper's t-shirt size *
Photography Release: We like to highlight good things that are happening in our school and community. We hope to share photos and updates about MediCamp on our two social media platforms. Additionally, we often use pictures of this nature in recruiting future students and in creation of Academy promotional materials. If you would like your child to be omitted from any posts or pictures, please indicate this by intialing below.
Parent Permission: I give my permission for my child to attend Northwest High School's Health Science Academy MediCamp and participate in all camp activities. I authorize emergency medical treatment for my child if necessary. I have read and understand the refund policy of the camp. 

Please type your full name below to give your electronic signature of the application above.
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