Camp Registration Test

Central Technology Center

Camp Explorer

CAMPER DETAILS

Student Name(Required)

First Last

School District(Required)

What grade will the student enter in the fall, August 2025?(Required)

Choose T-Shirt Size(Required)

If medication is currently being taken, please provide name of medication(s).

Food Allergies?(Required)

If yes, please list allergies and if student will bring their own lunch and snacks.

EMERGENCY CONTACT

Parent/Guardian Name(Required)

First Last

Emergency Phone Number(Required)

Email(Required)

CAMP SELECTION (Survey Ranking Option)

Rank class options in order of preference. You can drag and drop by class.

Top = My favorite, sign me up! Bottom = My last choice. We will do our best to put you in your top 4 classes.

Be a Camp Hero!
Future Healers: Biomedical Science
Build It & Forge It: 3D Design & Metalworks
Haircutting 101
BIG Trucks, BIG Fun!
Med-Squad: Hands-On Healthcare
Build, Break Down, and Secure the Tech of Tomorrow!
Future Engineers

CAMP SELECTION (Number Option)

Rank class options in order of preference by entering a number in the box with the class. 1 = My favorite, sign me up! 8 = My last choice. We will do our best to put you in your top 4 classes.

Be a Camp Hero!(Required)

Please enter a number from 1 to 8.

Future Healers(Required)

Please enter a number from 1 to 8.

Build It & Forge It(Required)

Please enter a number from 1 to 8.

Haircutting 101(Required)

Please enter a number from 1 to 8.

BIG Trucks, BIG Fun!(Required)

Please enter a number from 1 to 8.

Body Basics(Required)

Please enter a number from 1 to 8.

Build, Break Down, Secure(Required)

Please enter a number from 1 to 8.

Future Engineers(Required)

Please enter a number from 1 to 8.

CAMP SELECTION (Dropdown Option)

Rank class options in order of preference using the dropdown choices. 1 = My favorite, sign me up! 8 = My last choice. We will do our best to put you in your top 4 classes.

1 = My favorite class, sign me up!(Required)

2(Required)

3(Required)

4(Required)

5(Required)

6(Required)

7(Required)

8 = My last class choice.(Required)

CAMP SELECTION (Survey Likert Option #1)

Rank class options in order of preference. 1 = My favorite, sign me up! 8 = My last choice. We will do our best to put you in your top 4 classes.

	Be a Camp Hero!	Future Healers: Biomedical Science	Build It & Forge It: 3D Design & Metalworks	Haircutting 101	BIG Trucks, BIG Fun!	Med-Squad: Hands-On Healthcare	Build, Break Down, and Secure the Tech of Tomorrow!	Future Engineers
1
2
3
4
5
6
7
8

CAMP SELECTION (Survey Likert Option #2)

Rank class options in order of preference. 1 = My favorite, sign me up! 8 = My last choice. We will do our best to put you in your top 4 classes.

	1	2	3	4	5	6	7	8
Be a Camp Hero!
Future Healers: Biomedical Science
Build It & Forge It: 3D Design & Metalworks
Haircutting 101
BIG Trucks, BIG Fun!
Med-Squad: Hands-On Healthcare
Build, Break Down, and Secure the Tech of Tomorrow!
Future Engineers

CONSENT

Photo/Video Release(Required)

By selecting “yes,” I, as the parent/guardian, authorize Central Technology Center (Central Tech) to freely use, publish, and display any videos, voice recordings, or photos featuring my child. This content may be edited and used in materials to promote technical education, benefiting Central Tech. I relinquish any rights to approve the final products or how they’re used. I release Central Tech from any liability related to this content’s creation and use. Central Tech owns all rights to the materials and may copyright them. I understand I won’t be compensated, and the content won’t negatively portray my child.

Medical Release(Required)

As parent/guardian, by selecting “yes,” it is understood that consent is given in advance of any emergency, diagnosis, or treatment required while the student is participating in CT Camp Explorer, summer camp, activities and, that this medical release authorizes designated school personnel to exercise their best judgement should action be warranted to ensure student’s safety, life, and health.

NONDISCRIMINATION:

It is the policy of Central Tech not to discriminate on the basis of race, color, national origin, sex, disability, or age in any of its policies, practices or procedures. The following person has been designated to handle inquiries regarding the nondiscrimination policies: Title IX, Assistant Superintendent, TitleIX@centraltech.edu, Counselor or ESC Coordinator, Section504@centraltech.edu, 3 CT Circle, Drumright, OK 74030, or 918.352.2551.

Name

This field is for validation purposes and should be left unchanged.

Class Start Dates:

START	GRADUATION	LOCATION
6/17/24	7/26/24	Drumright
6/24/24	7/31/24	Ponca City
6/24/24	7/31/24	Shawnee
7/1/24	8/7/24	Poteau
7/1/24	8/7/24	Woodward
7/1/24	8/9/24	Drumright
7/17/24	8/23/24	Drumright
7/29/24	9/4/24	Okmulgee
7/29/24	9/4/24	Omega
7/29/24	9/4/24	Wetumka
7/31/24	9/6/24	Drumright
8/5/24	9/11/24	Enid
8/14/24	9/20/24	Drumright
8/28/24	10/4/24	Drumright
9/3/24	10/9/24	Alva
9/3/24	10/9/24	Fairview
9/3/24	10/9/24	Idabel
9/9/24	10/16/24	Norman
9/9/24	10/16/24	Ponca City
9/11/24	10/18/24	Drumright
9/25/24	11/1/24	Drumright
10/7/24	11/13/24	Poteau
10/7/24	11/13/24	Woodward
10/9/24	11/15/24	Drumright
10/14/24	11/20/24	Enid
10/14/24	11/20/24	Shawnee
10/21/24	11/22/24	Drumright
11/6/24	12/20/24	Drumright
11/11/24	12/20/24	Okmulgee
11/11/24	12/20/24	Omega
11/11/24	12/20/24	Wetumka
11/13/24	12/20/24	Ponca City
1/8/25	2/14/25	Drumright