Widener Computer Science Department's Summer Camp 2026
Online Registration Form
Student's Name :
Mailing Address :
Email Address :
Phone Number :
School :
Graduation Year :
Select Graduation Year
2026
2027
2028
2029
2030
Bring your own Laptop ?
Are You Bringing A Laptop?
Yes, I am bringing my own laptop
No, I am not bringing my own laptop
Primary emergency contact
Parent/Guardian 1 Name :
Parent/Guardian 1 Email Address :
Parent/Guardian 1 Phone Number :
Secondary emergency contact
Parent/Guardian 2 Name :
Parent/Guardian 2 Email Address :
Parent/Guardian 2 Phone Number :
Reference: Teacher/Counselor/Other who told you about our event
Reference's Name :
Reference Email Address :