North Central Kansas Technical College
Summer Boot Camp – Registration Form

Directions:
1. Please complete all questions as completely and accurately as possible
2. Submit this registration by May 1st.
3. Please send payment to address found below.

The North Central Kansas Technical College does not discriminate on the basis of sex, race, color, religion, national origin, age, handicap or marital status in admission or access to, or treatment of, or employment in its programs and activities. If you have questions regarding the below, please contact the NCKTC Dean of Student Services (1.800.658.4655).

Registration Requirements:
The information furnished to the college will not be used to deny admission but is needed for reporting purposes. Please review the following Registration requirements before proceeding.  Campers must be entering their Junior Year of High School or later.

Persons not meeting the above requirements must contact the Camp Director prior to enrollment.
Ashley Wiles
Phone: 785-738-9097 or Email awiles@ncktc.edu

* Indicates the question is required to submit the form.