Millsaps MRI Camp: Medical Readiness Institute Session Two

Tuesday, June 9, 2026 at 9:00 AM until Friday, June 12, 2026 at 4:00 PMCentral Daylight Time UTC -05:00

Millsaps College
1701 N State St
Jackson, MS 39210
United States

The Millsaps Medical Readiness Initiative offers a perfect opportunity to take the first steps toward a successful future in medicine. This immersive experience is designed for 9th, 10th and 11th graders interested in medical, dental, pharmacy, nursing, public health and therapy-related fields

Tell Us About You

First Name

Middle Name

Last Name

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Birthdate

Email Address

Cell Phone

Sex

Mailing Address

Country

Street

City

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Postal Code

School Information

High School Name

What grade will you be next year? (2025-2026 school year)

Freshman

Sophomore

Junior

Senior

Current GPA

Additional Information

Please list any food or other allergies you may have

How did you hear about the camp?

Give us a few sentences on why you want to participate in this camp

Parent/Guardian Information

Whose information are you providing?

Parent Contact

Guardian Contact

I hereby release this camp, its employees, and the directors from any liability for accidents, medical or dental, or any other expenses incurred as a result of the accidents. By signing this form, I certify that my child has no injury or illness, which could jeopardize his well-being by participating in all activities of the Millsaps Summer Camps. I also authorize the camp directors to act for me according to their best judgment in an emergency requiring medical attention. I understand that during the course of my child's participation in the Millsaps MRI Camp, my child may be photographed during the camp. I permit the Instructors and/or Administrators to photograph my child’s image and use those photographs for educational and publicity purposes. I release Millsaps College from any claims that might arise from use of these photographs. By entering my name in the boxes below, this acts as my electronic signature on this waiver.

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Medical Insurance Information

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Physical Conditions

Registration Fee

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Amount Due

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