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2019 Career Institute

STUDENT APPLICATION - Registration is FULL, anyone else who registers will be placed on the waiting list.

2019 Career Institute!
July 16th & 17th | 8:00am - 3:30pm

  • The 2019 Career Institute will be held at the Orrin S. Estebo Career Development & Training Center located in the Redwood Valley High School in Redwood Falls, MN.
  • This year's career explorations include Surgical Tech, Dental Assisting, Medical Lab Tech, Energy, Carpentry, Powersports/Automotive Tech, Law Enforcement, Welding, Plumbing, Vet Tech, Precision Ag/Drones, Livestock Operations, and more.
  • The Career Institue is a free event. When submitting an application, please keep in mind that we have reached our maximum amount of registrants and you will be placed on a waiting list. Because there is a waiting list, applicants are asked to email info@prairiecareers.com or call Whitney Wills at 507-249-3196 if they are not able to attend no later than July 5th.
  • Acceptance to the program is determined by grade level and the date the application is received.
  • Students must attend both days and will receive $100 Cash!

Student Personal Information












Parent/Guardian Information





Emergency Contact

Please list someone other than the parent/guardian from above.



Demographic Enrollment Data



Health & Special Needs

  • List allergies, their reaction, and how to manage them
  • List any restrictions to activity
  • Explain anything about your child that our staff may need to be aware of


WAIVER

  1. I hereby certify that I am, or in the event, I am registering my minor child, my child is in normal health and capable of participating in the Technology and Trades on the Prairie Career Institute.
  2. In the event of injury to my minor child, as a parent or legal guardian, I authorize a licensed physician to examine my child and in the event of injury to render such emergency care as he or she deems necessary for the treatment of such injury, including consultation and treatment by a specialist, including a surgeon. As a parent or legal guardian, I authorize the Farmward Cooperative/AgQuest Financial Services and Technology & Trades on the Prairie to send my minor child to the hospital or doctor most accessible.

PHOTOGRAPH & VIDEO RELEASE POLICY

Photographs or video may be taken at the Technology & Trades on the Prairie Career Institute, including photographs of your child(ren). Some of these photographs may be used in printed materials and/or on our official website or our sponsored social-media website on the internet to promote future events sponsored by Technology & Trades on the Prairie. In the event a photograph or video is used for these purposes, every effort will be made to protect the individual identity of all individuals depicted in the picture or video. No names, telephone numbers, addresses or other identifying information will be placed in the printed materials or on the internet. For these reasons, we are asking for your permission to use your/your child's photographs in our materials and on our website. By signing, I hereby grant Technology & Trades on the Prairie permission to use photographs, video and/or other images of my child(ren) for the purposes outlined above.

PRIVACY ADVISORY

The information you provide, including your name, address, telephone number, and any other identifying information, is classified by state law as private and is not accessible by the public but is accessible by you, or in the case of a minor is accessible by a parent or guardian or an individual acting as a parent or guardian in the absence of a parent or guardian, except that Technology & Trades on the Prairie shall withhold data from parents or guardians, or individuals acting as parents or guardians in the absence of parents or guardians, upon request by the minor if Technology & Trades on the Prairie determines that withholding the data would be in the best interest of the minor. We need this information to enroll you in the program and to be able to contact you if necessary. If you do not provide the information, you will not be enrolled in the requested program.
Farmward Cooperative/AgQuest Financial Services and Technology & Trades on the Prairie shall not be liable for any claims, demands, injuries, damages, or actions whatsoever to the attendee or the attendee ’s property arising out of or connected with the use of any services and facilities of Financial Services Farmward Cooperative/AgQuest Financial Services. Attendee does forever release and discharge Farmward Cooperative/AgQuest Financial Services and Technology & Trades on the Prairie shall from all such claims, demands, injuries, damages or actions; and from all acts of active or passive negligence on the part of Farmward Cooperative/AgQuest Financial Services, it’s agents or employees.

I read the foregoing and certify my agreement by the checkbox and my online signature below.






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