Harding University Summer Engineering Camp

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Application

Email *

First Name *

Last Name *

Preferred Name

Date of Birth *

YYYY

Home Address *

City *

State *

Zip Code *

Gender *

Male

Female

Student's E-mail *

Parent's E-mail *

Name of High School *

Grade in School (2022/2023) *

10th

11th

PARENT / GUARDIAN INFORMATION

Parent 1

Name *

Daytime Phone Number *

Evening Phone Number *

Address *

City *

State *

Zip Code *

PARENT / GUARDIAN INFORMATION

Parent 2

Name

Daytime Phone Number

Evening Phone Number

Address

City

Option 1

Clear selection

State

Zip Code

EMERGENCY CONTACT*

Name *

Daytime Phone Number *

Evening Phone Number *

Address *

City *

State *

Zipcode *

Please Read

The cost of the 2023 Summer Engineering Camp is $500.00, which includes tuition, housing, meals, and camp supplies. Each session is limited to 32 students. Applications will be accepted until the camp is full.

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