Kilgore College Technology Summer Camps Registration
Summer 2023
Kilgore College
Kilgore, Texas
  • Esports Streaming Media Camp for boys and girls entering grades 5th - 7th
  • July 17 - 21, 9 AM to 5 PM ($250)

  • Esports Streaming Media Camp for boys and girls entering grades 8th - 12th
    July 24 - 28, 9 AM to 5 PM ($250)

PLEASE COMPLETE ONE FORM PER CHILD ATTENDING.

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Email *
Which camp(s) will you attend? *
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Student Last Name *
Student First Name *
Social Security Number *
In order to help us protect your social security number, the college computer system will convert your SS# into your student ID# for your record.
T-shirt size (adult sizes) *
Student ID (if you have attended Kilgore College)
Mailing Address
City
State
Zip Code
Phone Number *
Student Date of Birth *
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US Citizen?  
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If not a US Citizen, what country?
I agree to complete the Camp Waiver, Release, and Indemnification Agreement  form and the Camp Authorization for Medical Treatment & Emergency Contact form found on the camp website and bring them on the first day of camp.
Racial/Ethnic Background
Colleges and universities are asked by many, including the federal government, accrediting associations, college guides, newspapers and our own college/university communities, to describe the racial/ethnic backgrounds of our students and employees. In order to respond to these requests, we ask you to answer the following two questions:
Are you Hispanic or Latino?
(Are you a person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race?)
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Please select the racial category or categories with which you most closely identify. Check as many as apply:
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