Full Tank Automotive Camp Registration

Registration has been extended to May 28th.
Student Information
Student Name * Required
First Last
Birthdate * Required
MM slash DD slash YYYY
Gender * Required
- Male
- Female
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email * Required
Home Phone * Required
Cell Phone * Required
School * Required
Grade for 2024 – 2025 School Year * Required
- 9
- 10
- 11
- 12
- Fall 2024 NU Freshman
Parent and Guardian Information
Parent/Guardian Name * Required
First Last
Parent/Guardian Address * Required
Same as student?

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Please enter if address is different from student.
Parent/Guardian Email * Required
Parent/Guardian Phone * Required
Full Tank Auto Camp Registration
SCHOLARSHIP OPPORTUNITY: Are you interested in a scholarship to attend Full Tank Auto Camp? * Required
- No, I’m not interested in a scholarship
- Yes, I’m interested in a scholarship
Are you applying for the Commuter or Residential Camp? * Required
- Residential: $500 first-time student, $300 returning student
- Commuter: $400 first-time student, $200 returning student
Do you want a private room? * Required
- Yes (+$350.00)
- No
Do you want extra-long twin sheets provided? * Required
- Yes (+$25.00)
- No
Are you a returning camper? * Required
- Yes
- No
Previous year(s) attended: * Required
Total Deposit Due
$0.00
About You
Plans for the future: do you plan on attending college? * Required
- Yes
- No
Do you have an idea what your major or area of interest(s) might be? * Required
Vocational/Professional Plans
Why are you interested in attending Full Tank Auto Camp? * Required
Is there anything else you would like us to know about you?
Contact
Consent to be contacted by Northwood University * Required
- I consent
Photo/Video/Media Release
Authorization of photos, videos, and recordings * Required
- I authorize Northwood University, its agents, employees and contractors (collectively “Northwood”), as well as members of the media, to interview, photograph/video, and otherwise record me. I hereby grant to Northwood the worldwide, irrevocable, transferable and unrestricted right to use my name, image and likeness as photographed, videotaped, or otherwise recorded, and to publish, display, and distribute the recordings of me, or in which I may be included, for educational publications, electronic reproductions (websites) and/or promotional materials, including, for example, newspapers, magazines, television, billboards, digital efforts, exhibits, presentations, radio broadcasts and the like, or for any other purpose and in any manner or medium, without compensation. I hereby release the photographer, videographer, Northwood and its contractors from all claims and liability relating to said recordings. Further, I waive any right, claim or interest that I may have in the recordings and waive any right or claim to future compensation. I acknowledge that any recordings taken of me will become and remain the sole property of Northwood or of the applicable media organization.
Payment Next Steps
I agree to: * Required
- My registration will not be completed until Northwood University has received the registration cost through the payment system.
- I will be contacted by a representative at Northwood University to fulfill registration cost.
Name
This field is for validation purposes and should be left unchanged.

Full Tank Auto Camp Registration

Student Information

Parent and Guardian Information

Full Tank Auto Camp Registration

About You

Contact

Photo/Video/Media Release

Payment Next Steps