2024 CCC&TI and CCS CTE Extreme Super Summer Camps
This application is for students who are interested in exploring careers. Each Summer camp will be 4 days. Please read the camp descriptions, location, date & time of camps and seat available. Students are allowed to signup for multiple camps by checking the box for each camp. Camp applications will be open until June 7th or until the camp has met the maximum seats allowed. 
If you have questions about the summer camps you may email 
CCS: Laura Brinkley at lbrinkley@caldwellschools.com or by calling 828-759-4654
CCC&TI: Brandy Dunlap at bdunlap@cccti.edu
or
Mark Barber: mbarber@cccti.edu
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Email *
2024 CCC&TI and CCS CTE Extreme Super Summer Camps- 
"A Collaborative Partnership to promote student career awareness"
Student First Name  *
Student Last Name  *
Date of Birth  *
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Age *
Current School  *
Students grade level for the 2024-2025 school year *
Mailing Address *
City & State *
Zip Code *
Student Health/ Medical Information. Check all that apply. *
Required
If student has allergies please explain and indicate if students requires Epi-pen?
Does the student require any medications to be administered during camp hours? *
Does student have Dietary restrictions? If so please explain *
EMERGENCY MEDICAL INFORMATION: In the event that the above individuals cannot be reached or if the injury or illness is life threatening or in need of emergency treatment, I authorize CCC&TI & CCS to call any and all professional emergency personnel to attend, transport, and treat the minor to the extent deemed necessary by any licensed physician, surgeon, dentist, hospital, or other medical professional duly licensed to practice in the state in which such treatment is to occur. I agree to assume financial responsibility for all expenses of such care. I verify that my child has medical insurance. Please provide any health information about your child that would be helpful to our instructors.
*
By typing your name and date you agree to the above statement
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