5C Experience
Student Application

The active application window will be between Tuesday, May 1st and Friday, May 20th. Only applications received during this timeframe will be considered!

Please note that acceptance requires a completed application, a signed and completed waiver, confirmation of payment and program staff review.

Name
 
Phone #
 
Address
 
City
 
State
 
Zip
 
   
T-shirt
 
Name of School
 
     
Grade Entering
 
 

   
     
Please include any comments or special scholarship requests here.
   
     
     
     
   
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Questions should be directed to:
James Preston at 925-3146 or Jody Ruble at 925-3127.

Student Application print version

Event Permit and Waiver.... click, print, sign, and send!