For Current 5Th and 6Th Graders (6Th and 7Th Graders in 2016-2017)

Med High Caduceus Camp

June 27th, 28th, and 29th2016

9:00 a.m. – 3:00 p.m.

For current 5th and 6th graders (6th and 7th graders in 2016-2017)

Camp Information: This three-day camp is organized to provide awareness of the health care field through hands on activities and educational experiences. Students will learn about nutrition, microbes that cause infection, the prevention of disease, Anatomy and Physiology, medical terminology, and careers in the health care field. Students will take part in activities in our Simulator Lab and will also work with the dissection table. The camp will conclude with a presentation to parents by the students.

Fee: $30.00 payable by check or money order to: STISD

Lunch and snacks will be provided.

Application process:

1.Parent/Guardian must complete the attached application form.

2.Return the completed form to: Colette Rogers by e-mail or by fax at (956)565-4039. Payment may be made separately, but registration will not be complete until payment is received.

The first 20 applicants will be accepted, so space is limited.

Application for Caduceus Camp

Please print or type clearly:

Name of current 5th or 6th grade student (6th or 7th in 2016-17)

Home Address:

City State Zip Code

Name of Parent or Guardian: ______

Daytime phone: ______Cell Phone: ______

E-mail address: ______

Does child have any food allergies? ______

Child’s T shirt size: ____ Adult S M L _____ Youth S M L

Projected High School Graduation Year: ______

Signature of Student ______

Signature of Parent ______

Date______

Media Permission Form

Caduceus Camp

Student Name (Print) ______

Session Attended: June 27, 28, 29

_____I hereby grant permission to use my child’s name, picture, and comments in materials (television, video, world-wide web, audio, printed media) used to promote the Med High Caduceus Camp.

_____I do not give such permission.

Parent Guardian Signature Date

**If you have questions about this form, please contact Amanda Odom, STISD Public Relations and Marketing Coordinator at (956)514-4255.

For questions regarding the Caduceus Camp, contact Med High at (956) 565-2237.