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2019-11-02T15:12:48+00:00
OAK RIDGE MILITARY ACADEMY
Apply.
Ready to take the jump!
Summer Camp Application 2020
Please Choose Your Camp:
*
Session I Adventure Camp: June 28 - July 11
Session II Adventure Camp: July 12 - July 25
High School Academic Summer Camp: June 28 - July 31
Middle School Academic Summer Camp: June 28 - July 31
High School Course Selection (For Academic Campers Only)
None (Adventure)
Algebra I
Geometry
Algebra II
Advanced Functions & Modeling
Pre-Calculus
English I
English II
English III
English IV
Spanish I
Spanish II
Chemistry
Biology
The Applicant is Working to Accomplish (For Academic Campers Only)
None (Adventure)
Credit Recovery
Remediation
Academic Acceleration
Name of Applicant
*
First
Last
Boarding Status of Camper
*
Day Student
7 Day Boarding
Gender
*
Male
Female
Rising Grade of Camper
*
6th
7th
8th
9th
10th
11th
12th
Date of Birth
*
Country of Citizenship
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Father's Information
Father's Full Name
*
Phone Number
*
E-mail Address
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Mother's Information
Mother's Full Name
*
Phone Number
*
E-Mail Address
*
Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Other Information
Parents' Relationship:
*
Married
Separated
Divorced
Widow/Widower
Who has legal custody?
*
Who will be financially responsible?
*
Emergency Contact Information
Name
*
First
Last
Relationship
*
Phone Number
*
E-Mail Address
*
School Information (Academic Campers Only)
School Name
School Phone Number
Mailing Address of School
Address Line 2
City
ZIP/Postal Code
State
Country
Career Counselor Name
Career Counselor E-Mail
Section Divider
Would you like your son/daughter's final Camp grades sent to this school
Yes
No
Additional Information
Has the applicant ever experienced disciplinary difficulty in school/community?
*
Yes
No
Has the applicant ever received educational support services or have an IEP or 504 Plan?
*
Yes
No
Has the applicant ever been treated by a therapist or other mental health care professional?
*
Yes
No
Is the student currently taking any medications?
*
Yes
No
If you answered "Yes" to any of the above questions, please explain.
Special Interests and Activities
Please list the applicant's favorite activities.
Please list any sports in which the applicant participates.
Has the applicant participated in JROTC, CAP, Sea Cadets, Young Marines, Scouting, Boys/Girls State or any other Youth Leadership Organizations?
Please list any special awards or achievements and/or community service projects in which the applicant has participated.
Terms of Agreement
Insert Signature if You Agree to the Following:
*
Clear Signature
The undersigned hereby authorizes the release of information required by Oak Ridge Military Academy in order to affect the enrollment of the applicant, and certifies that the applicant is amenable to discipline, is of good moral character and habits, and does not have disciplinary and/or medical issues inappropriate for a Boarding School environment. It is further agreed that the terms and conditions of admission, as stated in the school's written publications and regulations, are binding upon the applicant. In accordance with federal regulations regarding the privacy rights of parents and students under the Family Educational Rights and Privacy Act of 1974, I hereby consent to the release of all educational records pertaining to the above-named applicant to Oak Ridge Military Academy. I also acknowledge that admission is contingent upon submission of a Doctor’s Physical within the last year that does not expire prior to the end of camp. This will include an update immunization record prior to matriculation. I certify that the information provided in this Application for Admission is true and complete to the best of my knowledge. Falsification of information on this application could invalidate acceptance and enrollment. Oak Ridge Military Academy admits students of any race, color, religion, national and ethnic orgins. It does not discriminate on the basis of race, color, religion, national or ethnic origin in the administration of its admissions policies.
Today's Date
*
How did you first hear about Oak Ridge Military Academy?
*
Billboard
Searched on Google
TV Commercial
Radio Commercial
School Brochure
Magazine
Referral/Word of Mouth
Social Media
Educational Consultant
Other
Billing Information
I agree to the charge of $50.00 to be made to my credit card.
*
Yes ($50 non-refundable application fee)
Name on Card
*
Credit Card Type
*
Visa
Discover
MasterCard
American Express
Credit Card Number
*
Expiration Date
*
CVV Code
*
Billing ZIP Code
*
Name
Submit