High School Soldering Camp

Contact Details

Student Name(Required)

First Last

Email(Required)

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Phone Number(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Parent or Guardian Name(Required)

First Last

Parent or Guardian Email(Required)

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Parent or Guardian Phone Number(Required)

Emergency Contact Information(Required)

Name Phone Number

Name and phone number of someone other than the parent/guardian who can be contacted in case of an emergency.

Relationship to the student. (Mother, grandparent, guardian, etc.)

What high school do you attend?(Required)

What grade will you be entering this fall?(Required)

9th

10th

11th

12th

Gender

Male

Female

Prefer not to answer.

Please list any dietary restrictions.(Required)

Why are you interested in taking this soldering course?(Required)

How did you hear about this program?(Required)

By submitting this registration, I acknowledge the inherent risks involved in soldering (burns, fumes) and agree to follow all safety rules and instructions.(Required)

I understand and agree.

I understand this class meets June 23-27 and if I miss portions of the course, I will not receive the J-STD-001 soldering certificate.(Required)

I understand and agree

I understand that we will meet from 8:30 AM – 4:30 PM each day, and lunch will be provided.(Required)

I understand and agree

I understand that this experience is free. We will meet at Artisan Electronics, located at 14359 Schonberger Dr, Odon, IN 47562, and I am responsible for arranging my own transportation to and from the facility.(Required)

I understand and agree

Name

This field is for validation purposes and should be left unchanged.

Earn your J-STD-001 soldering certification and unlock opportunities

Why Get Certified?

Where and When:

High School Summer Soldering Camp June 23-27

Contact Details