STARBASE Pre-ETS Camp

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This is to register and grant permission for your child/dependent to attend the STARBASE Pre-Employment Transition Services (Pre-ETS) STEM Careers Camp.

This is open to students with a disability going into grades 9-12 and 2024 high school graduates.

Youth should bring a water bottle, clothes suitable for outside activities, and a lunch.

***Once you have registered, we will reach out to connect you with Pre-ETS personnel who can assist with lodging, transportation, and more.

Please fill out one form per youth.

Youth's Full Name *

Which camp will this youth be attending? *

STARBASE Fort Harrison, June 17 - June 20, 2024, 9:30am-2:30pm

STARBASE Great Falls, June 24 - June 25, 2024, 9:00am-3:00pm

Youth's Birthdate (MM/DD/YYYY) *

Youth's Age *

Youth's Sex *

Female

Male

Non-Binary

Other:

Youth's Grade Level as of Fall 2024 *

9th

10th

11th

12th

2024 High School Graduate

Please select all that apply

English is a 2nd language for this youth

The youth's mother/father/guardian is on active duty, in the reserves, in the National Guard, or is a veteran of the US Military.

This youth is part of a low-income household

Parent/Guardian's Full Name *

Parent/Guardian's Phone Number *

Parent/Guardian's E-mail *

Street Address *

Mailing Address *

City *

State *

Zip Code *

Does the youth have any food allergies/dietary restrictions? *

Please list out any accommodations the youth will need at this camp *

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