STARBASE Pre-ETS Camp
This is to register and grant permission for your child/dependent to attend the STARBASE Pre-Employment Transition Services (Pre-ETS) STEM Careers Camp.

This is open to students with a disability going into grades 9-12 and 2024 high school graduates.
Youth should bring a water bottle, clothes suitable for outside activities, and a lunch.

***Once you have registered, we will reach out to connect you with Pre-ETS personnel who can assist with lodging, transportation, and more.

Please fill out one form per youth.
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Youth's Full Name *
Which camp will this youth be attending? *
Youth's Birthdate (MM/DD/YYYY) *
Youth's Age *
Youth's Sex *
Youth's Grade Level as of Fall 2024 *
Please select all that apply
Parent/Guardian's Full Name *
Parent/Guardian's Phone Number *
Parent/Guardian's E-mail *
Street Address *
Mailing Address *
City *
State *
Zip Code *
Does the youth have any food allergies/dietary restrictions? *
Please list out any accommodations the youth will need at this camp *
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