2008 Summer Nursing Camp Registration

There will be two separate sessions for the 2008 Summer Nursing Camp. Please indicate in the form below which session you prefer to attend. Sponsored in partnership with Northern Maine Medical Center and Acadia Health Education Coalition & Office of Rural Health and Primary Care .

nurse with clipboard

The camp fee is $200 for one session. Registration is limited to one session per person. Upon receipt of your online registration, a complete package will be mailed to you at the address provided below. For more information about the camp, please view the Nursing Camp Brochure here. Scholarship information available here.

All fields not indicated as optional are required.

Preferred Session:
First Name:
Last Name:
Street/PO Box:
City/Town:
State:
Zip:
Phone Number: (e.g. 555-555-5555)
Cell Phone (optional): (e.g. 555-555-5555)
E-mail Address:
Parents' Names: