Click here to download the application "*" indicates required fields Student Name:* Age:* Grade In Fall:* T-Shirt Size* Guardian Name:* First Last Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Home Phone:Cell PhoneParent Email Student Email Emergency Contact Name/ Relation:* Emergency Contact Cell Phone:* Have you attended Summer Camp in the past?* Yes No Camp Session (1st Choice)*May 23 - May 27May 30 - June 3June 6 - June 10June 13 - June 17June 20 - June 24June 27 - July 1July 4 - July 8July 11 - July 15July 18 - July 22July 25 - July 29August 1 - August 5Camp Session (2nd Choice)*May 23 - May 27May 30 - June 3June 6 - June 10June 13 - June 17June 20 - June 24June 27 - July 1July 4 - July 8July 11 - July 15July 18 - July 22July 25 - July 29August 1 - August 5Applications are due by March 15th, 2022. Interviews will be held the week of March 28th – 31st, 2022. If your child is selected to be a part of our camp, the payment of $300 will be due by April 25th, 2022. Mandatory orientation for all campers and parents will be held on May 13th, 2022 at 6pm. Please email your child’s application back to info@premierveterinaryhospital.com. If you have any further questions, please feel free to call 903-617-6072. BELOW PLEASE HAVE YOUR CHILD WRITE A SHORT PARAGRAPH TELLING US A LITTLE ABOUT THEMSELVES, AND WHY THEY WANT TO LEARN ABOUT VETERINARY MEDICINE:*CAPTCHAEmailThis field is for validation purposes and should be left unchanged.
