CAREER E XPLOR ATIONS 202 5 R E G I S T R AT I O N A N D E M E R G E N C Y/ M E D I C A L R E L E A S E F O R M
REGISTRATION INFORMATION Johnson & Wales University’s Career Explorations program offers high school students the opportunity over the course of two days of academics on a JWU campus to explore a career in one of the following areas: • Criminal Justice • Food Innovation & Technology
• Graphic Design • Health & Wellness
• Hospitality Management
Participants will experience life on campus, meet faculty, talk with current students and more. The program includes housing, all meals, instructional materials, activities and program transportation. The program will include use of on-campus labs and lab equipment.
Name of Participant
First Parent/Guardian’s Name
Gender
Home Phone Number
Date of Birth Age
Mobile/Business Phone Number
Street Address
Second Parent/Guardian’s Name
City State
Home Phone Number
ZIP
Home Phone Number
Mobile/Business Phone Number
EM E RG E N CY I N FOR M AT I O N In an emergency when parent/guardian cannot be reached, please contact the following persons:
Name
Name
Relationship
Relationship
Phone Number
Phone Number
Name
Name
Relationship
Relationship
Phone Number
Phone Number
24-01-292 12/24