Health Careers Camp
Registration

The 2014 Health Careers Camp will be held June 18-19, 2014.
Registration is limited to the first 40 applicants. (Registration deadline is June 2, 2014.)

Registration requirements:

  1. Complete the registration form below and select the "Print Form" button.
  2. Sign and date the two-page Housing Form.
  3. Sign and date the two-page Youth Camp Medical Form.
  4. Mail the registration, housing and medical forms, along with the $60 registration fee to:
  • Pennsylvania College of Technology
  • School of Health Sciences (DIF 14)
  • Attn: Scott Geist
  • One College Avenue
  • Williamsport, PA 17701
Student Information
Name
Birth Date
Address
Contact Information
School Information
Gender
T-Shirt Size
Parent/Guardian Information
Parent/Guardian Information
Photo Release
Emergency Contact Information
Emergency Contact Information
Accessibility Statement

Pennsylvania College of Technology
One College Avenue
Williamsport, PA 17701

570-326-3761
800-367-9222

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