Summer Youth Program Application

Inventor's STEM Summer Camp

2020 Summer Program Application
Student Name

First NameLast Name
Parent/Guardian Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Age
Student Birthdate

MonthDayYear
Student Email
Student Phone Number
Parent/Guardian Email
Parent/Guardian Phone
Grade in School Fall 2020
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How did you find out about Inventor's STEM Summer Camp