Northwood

Participant Details

First Name

Preferred Name

Last Name

Gender

Birthdate

Email

Mobile Number

Home/ Alternate Number

T-Shirt Size

Address

Country

Street

City

Region

Postal Code

Do you give Northwood University permission to text you about updates regarding this and other events on campus?

Academic Information

What year will you graduate High School?

What type of student will you enter college as?

Program of Interest

High School

High School CEEB (hidden)

HS Level of Study (hidden)

Family Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Cell Phone

Parent/Guardian Email

Address

Country

Street

City

Region

Postal Code

Did anyone in your family attend Northwood University?

Yes

No

What the that individual's relationship to you?

Secondary Contact (Optional)

First Name

Last Name

Cell Phone

What is the individual's relationship to you?

Country

Street

City

Region

Postal Code

Health & Medical Profile

Primary Physician Name

Primary Physician Phone

Health Insurance Provider

Health Insurance Provider Number

Medical Needs & Allergies

Do you have severe allergies (Food, Medication, Insect Stings):

Yes

No

Please describe severe allergies

Do you carry an EpiPen?

Yes

No

Please describe dietary restrictions

Daily Medications / Medical Conditions:

Camp Information

Students can choose to stay on campus or commute for this camp. Residential students will be housed in the residential halls for the duration of this camp. Commuter students will not have accommodations on campus and will be responsible for getting to campus on time each morning.

Would you like to register as a Residential or Commuter student?

Residential

Commuter

If you have a roommate request, please put their name below. Though matches are not guaranteed, we do our best to accommodate.

All campers are responsible for their own bedding and towels unless a linen package is rented in advance. Please select one of the following options:

I will bring my own bedding. (Note: Camp beds require Twin XL sheets, a blanket/sleeping bag, a pillow, and towels.)

I would like a Linen Package ($40). Includes: One set of Twin XL sheets (fitted & flat), one blanket, one pillow with pillowcase, towel, washcloth, bathmat, small shampoo, conditioner & body wash.

Parent Showcase & Lunch RSVP

We invite parents and guardians to join us for our Student Showcase and Lunch on Thursday July 1st. Details to follow.

You will have the opportunity to watch your child present what they learned throughout camp, followed by a celebratory lunch.

Will anyone be attending from your family?

Yes, family/guests will attend

No, unfortunately no guests will be able to attend

If Yes, total number of attending guests (including parents/guardians, excluding the camper):

Summer Camp Housing Key Agreement & Liability Clause

Summer Camp Housing Key Agreement & Camp; Liability Clause
By signing below, I acknowledge receipt of the housing key(s) issued for the duration of the summer camp program. I understand and agree to the following terms regarding key safety and return:

Key Responsibility: The camper is responsible for maintaining possession of their assigned housing key throughout the camp session.
Return Deadline: All keys must be returned to camp staff during official check-out on the final day of the camp session.
Unreturned Key Fine: If the housing key is lost, stolen, or otherwise failed to be returned at check-out, the camper/parent/guardian agrees to pay a $250 non-returned key fee.

Parent/Guardian Signature:

Click to Sign...

Emergency Medical Treatment Authorization

If an emergency arises and we are unable to reach you or your designated contacts, I authorize camp staff to arrange immediate medical care and transportation for my child.

Parent/Guardian Signature:

Click to Sign...

Photo & Media Release

Do you consent to the release of your image and likeness to be used by Northwood university if captured by photo, video and recordings? Please check the box below and type your name if you agree.

I AGREE to allow camp staff to photograph/video my child for camp marketing and social media.

I DO NOT AGREE to photo/media publication

General Release of Liability

General Release of Liability Form.docx

By signing below, you and your registered camper reviewed, understood, and agreed to the General Release of Liability Agreement outlined above.

Click to Sign...

Field Trip & Off Campus Activity Agreement

Northwood University Field Trip Off-Campus Agreement (1).docx

By signing below, you give permission for your camper to participate in all scheduled off campus field trips and transportation activities, and do both you and your camper agree to the safety guidelines and release terms outlined above.

Click to Sign...

Terms & Cancellation Policy

Full refunds will be granted for written cancellation requests received on or before Friday, May 28, 2027. Written cancellations after May 28, 2027, but prior to the first day of camp are eligible for a 50% refund. No-shows or cancellations made after the camp starts will not receive a refund. There is a minimum enrollment required for each camp to run. Should this minimum enrollment not be reached by Friday, May 28, 2027, the camp will be cancelled, and a full refund will be made to all who are registered.

Parent/Guardian Signature

Click to Sign...

$739 - Residential Camper w/ Linen Free

$699 - Residential Camper w/o Linen Free

$599- Commuter

Amount Due
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Amount Due

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Tech Camp Registration Form - 2027