Design Day Camp Sign-Up Company (Virtual) Design Day Camp January 15th, 2021 from 9-noon Let's Sign-Up First Name * Last Name * Email Address * Address * City * State * - Select Province/State - Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Nova Scotia Northwest Territories Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon ==================== 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 Zip Code * High School Name * High School Graduation Year * How Did You Hear About Us? * Social Media Teacher or Guidance Counselor Email Friend Open House Other Persons with a disability and who require assisted listening devices, a signer or other special accommodation should notify the Disability Services Office at 610-683-4108. (TDD number 610-683-4499.) It is recommended that requests be submitted as early as possible to ensure the availability of accommodations needed The person(s) whose signature appears below agrees to allow his or her child’s photograph(s)/video to be taken and used without monetary compensation for purposes related to publicity and promotion at Kutztown University. The means may include promotional materials, advertisements/publication in newspapers, and publication by electronic means. The photos will be taken solely for university publications, publicity and promotion related to university programs, and KU agrees that it will not distribute the photographs to third parties for any other purposes.