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Chef Camp at Texas Tech University

Registration Form Summer 2014

Session Information: June 23rd-27th, 2014


Required Camper Information
Last Name:
First Name:
Middle Initial:
Preferred Name or Nick Name:
Home Address:
City:
State:
Zip:
Home Phone Number:
Cell Phone Number:
Gender: Female
Male
Age:
Shirt Sizes
T-shirt Size:

Chef Coat Size: XS
S
M
L
XL
Parent/Guardian Information
Last Name:
First Name:
Middle Initial:
Relationship to Camper:
Home Address:
City:
State:
Zip:
Home Phone Number:
Cell Phone Number:
Email:
Emergency Contact Information
Last Name:
First Name:
Middle Initial:
Relationship to Camper:
Home Phone Number:
Cell Phone Number:
Email:
Allergies
Please list out any and all allergies with necessary treatment:
Housing Information
Preferred Roommate: (Last, First, MI)
Parking Information
Campers will not be permitted to leave campus during camp and keys will be in possession of the housing counselor, however, camper vehicles are permitted on campus for the week of camp.
Parking Permit Needed? Yes
No
If yes, please provide:
License Plate #:
State:
Previous Camp Attendees
Have you attended camp before? Yes
No
If yes, what year(s):
Are you interested in becoming a junior counselor? Yes
No
Are you currently a 4H member? Yes
No
How did you hear about Chef Camp?
Other:

By submitting this application I am confirming that all of the information provided above is truthful to the best of my knowledge. I shall abide by all rules, procedures and regulations set by Chef Camp in order to have a fun, safe camp.