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SmartGiraffe Computer Services presents. . .
SmartKidz Middle School Tech Bootcamp
APRIL 13 – 15, 2020
8:30am – 3:00pm
200 High St, Ports., VA 23704 Ste 305A
Call for More Info: (757) 943-9977
PREPPING KIDS EARLY FOR THE TECH CAREERS OF THE FUTURE
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Name
*
First
Last
Date of Birth
Grade
6th Grade
7th Grade
8th Grade
Email
*
Why would you like to participate in the camp?
*
Parents Name
*
First
Last
Cell Phone
*
2nd Parent Name
First
Last
2nd Parent Cell Phone
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
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California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
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Maine
Maryland
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New Hampshire
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North Carolina
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South Dakota
Tennessee
Texas
Utah
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Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Employer info
Work Phone
Register
*
Early Registration $125 Before March 13th
Registration Fee $175 March 14th-30th
REGISTRATION INCLUDES Tech T-Shirt, Technician Dog Tags, Equipment Usage, & Boot Camp Party
MONDAY: Intro to Computer Tech and Laptop Components
TUESDAY: Hands-On Computer Repair
WEDNESDAY: Laptop Challenge Games
& Culminating Boot Camp Party
Total Amount
$ 0.00
Emergency Contact
*
First
Last
Emergency Contact Phone Number
Medical
*
Please list any Student Medical Issues & Allergies. Medication that needs to be administered. Doctor/Hospital preference in case of an emergency
Type None if there aren't any medical conditions.
Photo Release
*
Yes
No
I, hereby grant permission to SmartGiraffe to reproduce photo images taken during the Tech Bootcamp for future event promotion publications which can include but is not limited to, books, cards, calendars, invitations and websites. We will not resale or use the photographs in a manner that would exploit or cause malicious representation toward your child or SmartGiraffe.
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