PTC Summer Academies
FOR STUDENTS ENTERING 8th through 10th GRADE IN THESE SCHOOL DISTRICTS:
WOODLAND | BLACKWELL | TONKAWA | NEWKIRK | PONCA CITY

Complete form and pay non-refundable, non-transferrable *$25 fee per academy.  Deadline for enrollment forms is June 22, 2022. Late applications not accepted, classes limited to 10 students. Each participant requires a separate registration. NOTE: PTC is limited to 10 spaces per class and only 2 academies per participant. Depending on demand, additional sessions may be offered. YOU MUST FILL OUT THE FORM COMPLETELY.
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Non Discrimination
Pioneer Technology Center does not discriminate on the basis of race, color, national origin, sex/gender, age, religion, disability, or veteran status. For inquiries concerning the application of this policy contact either Karl Lynes (580) 718-4281 or Pam Dickerson (580) 718-4295, Compliance Officers/Title IX Coordinators, or Lori Evans (580) 718-4313, 504/ADA Coordinator.
Student's First Name *
Student's Last Name *
Student's Gender *
Birthdate
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Address *
City *
State *
Zip *
Phone Number *
Alternate Number *
Email Address *
School *
Grade in Fall of 2022 *
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