Young Women in Trades and Technologies | FALL CAMP

Welcome!

Thursday, November 12th | 9:00 AM - 4:00 PM

Explore your future in the trades with an exclusive hands-on experience with an industry leader!

Limited Spots Available

(Note: Only eligible applicants will be selected to attend)

Steel toe boots are required for some industry tours. CAREERS can provide Steel toe boots for participants if needed.

First Name

Last Name

Email Address

Phone Number

City/Town Name

Age

School Name

Grade

Gender

Date of Birth

Dietary Restrictions

Do you have a current application with CAREERS

YesNo

Do you need to borrow steel toe boots?

YesNo

What is your shoe size?

Emergency Contact Information

Name of Emergency Contact

Relationship to Student

Phone Number

Parent / Guardian Acceptance of Expectations and Consent

By checking this box I/we agree and accept these conditions and give permission for my child to participate in the CAREERS, Rostel Industries and Precision Drilling Student Night. I/we hereby give the program leaders, or designate permission to use his/her judgement in obtaining the best medical services and care available for my child. I/we understand that in the event of serious illness or accident I/we will be notified.

REQUIRED

Parent/Guardian Full Name

Parent/Guardian Phone Number

Parent/Guardian Email

Date

Student Consent to Participate

I hereby consent and provide permission, as part of my participation in CAREERS programs, events, and activities, to be photographed, recorded by video and other electronic means, and be interviewed for usage in CAREERS’ promotional material or other media, including video productions, annual reports, website and brochure graphics, electronic media, newspaper articles or ads, CAREERS student customer satisfaction surveys and/or approved CAREERS program surveys, and event programs. From time to time, our employer, school, and donor partners also will use images and video captured in promotional material or other media. I understand that this material will remain as the property of CAREERS: The Next Generation.

By checking this box and typing my name below, I am electronically signing this consent form

Student Name

Today's Date

Please check the box to agree to the terms below.

I hereby consent to receive emails, phone calls or other correspondence deemed necessary by CAREERS: The Next Generation in relation to this or other CAREERS related events, opportunities or information. I understand this consent can be revoked at any time.

By checking this box I hereby consent and provide permission, as part of my participation in CAREERS programs, events, and activities, to be photographed, recorded by video and other electronic means, and be interviewed for usage in CAREERS’ promotional material or other media, including video productions, annual reports, website and brochure graphics, electronic media, newspaper articles or ads, CAREERS student customer satisfaction surveys and/or approved CAREERS program surveys, and event programs. I understand that this material will remain as the property of CAREERS: The Next Generation.

FormAssembly Privacy Policy