New Discovery Tech 2022 Summer Camp Registration

Discovery Tech Summer 2022 Registration Form
Parent or Legal Guardian Information
Parent/Legal Guardian *
Parent Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Daytime Phone Number *

Area Code Phone Number
Cell Phone

Area Code Phone Number
Second Parent or Guardian (Optional)

First Name Last Name
Phone Number

Area Code Phone Number
Camper's Information
Last Name *
First Name *
Gender
Birth Date *

Month Day Year
Grade entering in the fall *
Name of School
Camp Selection(s)

When determine age requirements, calculate based on the age of the camper on August 31, 2022. Morning Camps run from 9 am to 12:00 PM. Afternoon camps are 1:00 to 4:00 PM. Full Day Camps are from 9 am to 4:00 pm.
Week of June 20-24
Half Day Mornings (6/20-6/24)

(SOLD OUT - UNAVAILABLE) Video Game Design Ages 8-12 (SOLD OUT - UNAVAILABLE) Lego Robotics Junior Ages 6-9
Half Day Afternoons (6/20-6/24)

Robotics Olympics Ages 8-12 (SOLD OUT UNAVAILABLE) Lego Stop Motion Animation Ages 6-9
Full Day (6/20-6/24)

(SOLD OUT UNAVAILABLE) Video Game Design and Robotics Olympics Ages 8-12 (SOLD OUT -UNAVAILABLE) Lego Robotics Junior Ages 6-9 and Lego Stop Motion Animation Ages 6-9
Week of June 27 - July 1
Half Day Mornings (6/27-7/1)

(UNAVAILABLE - CAMP FULL) Minecraft Adventures Ages 9-12 (UNAVAILABLE - CAMP FULL) Pokemon Medley Ages 6-10
Half Day Afternoons (6/27-7/1)

(SOLD OUT/UNAVAILABLE)- Invent it! With Makey and Engineering Challenges Ages 9-12 (UNAVAILABLE _ CAMP FULL) Video Game Design Ages 6-10
Full Day (6/27-7/1)

(UNAVAILABLE - CAMP FULL Minecraft Adventures and Invent it! With Makey and Engineering Challenges Ages 9-12 (UNAVAILABLE - CAMP FULL) Pokemon Medley and Video Game Design Ages 6-10
Week of July 11-15
Half Day Mornings (7/11-7/15)

Game Design with Scratch Ages 8-12 Lego Stop Motion with 3D Printing Ages 6-9 Music Video Star Ages 7-12
Half Day Afternoons (7/11-7/15)

Lego Robotics Ages 8-12 Minecraft Building Challenges Ages 6-9 Claymation Ages 7-12
Full Day (7/11-7/15)

Game Design with Scratch and Lego Robotics Ages 8-12 Lego Stop Motion with 3D Printing and Minecraft Building Challenges Ages 6-9 Music Video Star and Claymation Ages 7-12
Week of July 18-22
Half Day Mornings (7/18-7/22)

Roblox Game Making Ages 8-12 Pokemon Medley Ages 6-9 Star Wars Stop Motion Ages 7-10
Half Day Afternoons (7/18-7/22)

Invent in with Makey Makey Engineering Challenges Ages 8-12 Programming with Scratch Ages 6-9 Special Effect Movie Making Ages 7-10
Full Day (7/18-7/22)

Roblox Game Making and Invent in with Makey Makey Engineering Challenges Ages 8-12 Pokemon Medley and Programming with Scratch Ages 6-9 Star Wars Stop Motion and Special Effect Movie Making Ages 7-10
Week of July 25-29
Half Day Mornings (7/25-7/29)

Minecraft Adventures Ages 7-12 Claymation Ages 8-12 Super Hero Movie Making Ages 6-9
Half Day Afternoons (7/25-7/29)

Minecraft Stop Motion Animation Ages 7-12 Youtube Star Ages 8-12 Adventures in Coding Ages 6-9
Full Day (7/25-7/29)

Minecraft Adventures and Minecraft Stop Motion Animation Ages 7-12 Claymation and Youtube Star Ages 8-12 Super Hero Movie Making and Adventures in Coding Ages 6-9
August 1-5
Half Day Mornings (8/1-8/5)

Code It! Swift, Python and More! Ages 8-12 Robotics Olympics Ages 6-9
Half Day Afternoons (8/1-8/5)

Roblox Game Making Ages Ages 8-12 Lego Stop Motion Animation with 3D Printing Ages 6-9
Full Day (8/1-8/5)

Code It! Swift, Python and More! and Roblox Game Making Ages Ages 8-12 Robotics Olympics and Lego Stop Motion Animation with 3D Printing Ages 6-9
August 8-12
Half Day Mornings (8/8-8/12)

Minecraft Adventures Ages 6-10
Half Day Afternoons (8/8-8/12)

Discovery Tech Greatest Hits - Favorite Activities in One Camp ! Ages 6-10
Full Day (8/8 -8/12)

Minecraft Adventures and Discovery Tech Greatest Hits - Favorite Activities in One Camp ! Ages 6-10
Would you like to register an additional child? *

Yes No
Camper's Information - Sibling
Sibling Last Name *
Sibling First Name *
Sibling Gender
Sibling Birth Date *

Month Day Year
Sibling Grade entering in the fall *
Name of Sibling School
Sibling Camp Selection(s)

When determine age requirements, calculate based on the age of the camper on August 31, 2022.
Week of June 20-24 (Child 2)
Half Day Mornings (6/20-6/24)

(SOLD OUT) Video Game Design Ages 8-12 (SOLD OUT) Lego Robotics Junior Ages 6-9
Half Day Afternoons (6/20-6/24)

(SOLD OUT) Robotics Olympics Ages 8-12 (SOLD OUT) Lego Stop Motion Animation Ages 6-9
Full Day (6/20-6/24)

(SOLD OUT) Video Game Design and Robotics Olympics Ages 8-12 (SOLD OUT) Lego Robotics Junior and Lego Stop Motion Animation Ages 6-9
Week of June 27 - July 1 (Child 2)
Half Day Mornings (6/27-7/1)

Minecraft Adventures Ages 9-12 Pokemon Medley Ages 6-10
Half Day Afternoons (6/27-7/1)

Invent it! With Makey and Engineering Challenges Ages 9-12 Video Game Design Ages 6-10
Full Day (6/27-7/1)

Minecraft Adventures and Invent it! With Makey and Engineering Challenges Ages 9-12 Pokemon Medley and Video Game Design Ages 6-10
Week of July 11-15 (Child 2)
Half Day Mornings (7/11-7/15)

Game Design with Scratch Ages 8-12 Lego Stop Motion with 3D Printing Ages 6-9 Music Video Star Ages 7-12
Half Day Afternoons (7/11-7/15)

Lego Robotics Ages 8-12 Minecraft Building Challenges Ages 6-9 Claymation Ages 7-12
Full Day (7/11-7/15)

Game Design with Scratch and Lego Robotics Ages 8-12 Lego Stop Motion with 3D Printing and Minecraft Building Challenges Ages 6-9 Music Video Star and Claymation Ages 7-12
Week of July 18-22 (Child 2)
Half Day Mornings (7/18-7/22)

Roblox Game Making Ages 8-12 Pokemon Medley Ages 6-9 Star Wars Stop Motion Ages 7-10
Half Day Afternoons (7/18-7/22)

Invent in with Makey Makey Engineering Challenges Ages 8-12 Programming with Scratch Ages 6-9 Special Effect Movie Making Ages 7-10
Full Day (7/18-7/22)

Roblox Game Making and Invent in with Makey Makey Engineering Challenges Ages 8-12 Pokemon Medley and Programming with Scratch Ages 6-9 Star Wars Stop Motion and Special Effect Movie Making Ages 7-10
Week of July 25-29 (Child 2)
Half Day Mornings (7/25-7/29)

Minecraft Adventures Ages 7-12 Claymation Ages 8-12 Super Hero Movie Making Ages 6-9
Half Day Afternoons (7/25-7/29)

Minecraft Stop Motion Animation Ages 7-12 Youtube Star Ages 8-12 Adventures in Coding Ages 6-9
Full Day (7/25-7/29)

Minecraft Adventures and Minecraft Stop Motion Animation Ages 7-12 Claymation and Youtube Star Ages 8-12 Super Hero Movie Making and Adventures in Coding Ages 6-9
August 1-5 (Child 2)
Half Day Mornings (8/1-8/5)

Code It! Swift, Python and More! Ages 8-12 Robotics Olympics Ages 6-9
Half Day Afternoons (8/1-8/5)

Roblox Game Making Ages Ages 8-12 Lego Stop Motion Animation with 3D Printing Ages 6-9
Full Day (8/1-8/5)

Code It! Swift, Python and More! and Roblox Game Making Ages Ages 8-12 Robotics Olympics and Lego Stop Motion Animation with 3D Printing Ages 6-9
August 8-12 (Child 2)
Half Day Mornings (8/8-8/12)

Minecraft Adventures Ages 6-10
Half Day Afternoons (8/8-8/12)

Discovery Tech Greatest Hits - Favorite Activities in One Camp ! Ages 6-10
Full Day (8/8 -8/12)

Minecraft Adventures and Discovery Tech Greatest Hits - Favorite Activities in One Camp ! Ages 6-10
Emergency Contact Info
Emergency Contact Name(if parent or guardian is not avaliable) *
Emergency Number *

Area Code Phone Number
Emergency Number #2 *

Area Code Phone Number
Pick Up Authorization

Please list anyone you would like to authorize to pick your child up (in addition to parents/guardians listed above)
Name

First Name Last Name
Phone Number

Area Code Phone Number
Name

First Name Last Name
Phone Number

Area Code Phone Number
Name

First Name Last Name
Phone Number

Area Code Phone Number
Is there any special information we should know about your child
List any medications to be taken at camp.
List any allergies (ex: bees, peanuts, dairy) or dietary restrictions we should be aware of.
Camper Photo Release
I agree that photos of my child can be taken on used on for camp social media purposes *

Yes No
Camp Terms

Please initial each item below to agree to our camp policies.
Refunds: Withdrawals for any reason more than 14 days before the start of camp, parents will receive a refund minus $50 per week, per child. *
Initial
There are no refunds within 14 days of the start of camp for any reason. *
Initial
In the unlikely event that a camp is cancelled, parents will receive notice within five days of the start date. All fees paid will be refunded in full. *
Initial
Camp Payment

Check the Format of the Camps You are Enrolling In and Then Choose the Number of Weeks

Full Day Camps - Check if Registering for Full Day and Choose Quantity Below Free

Please choice the number of full day camps you have signed up for. If you have registered siblings, please add the registrations together (Ex A parent registering for 1 week with 2 children should participating should choose 2, and 2 weeks with two children should choose 4)

Quantity
Item subtotal: $ 0.00

Number of Half Day Camps Selected Free

Please choice the number of half day camps you have signed up for. If you have registered siblings, please add the registrations together (Ex A parent registering for 1 week with 2 children should participating should choose 2, and 2 weeks with two children should choose 4)

Quantity
Item subtotal: $ 0.00

Enter coupon

Total $ 0.00

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Should be Empty:

Discovery Tech Summer 2022 Registration Form

Parent or Legal Guardian Information

Camper's Information

Camp Selection(s)

Week of June 20-24

Week of June 27 - July 1

Week of July 11-15

Week of July 18-22

Week of July 25-29

August 1-5

August 8-12

Camper's Information - Sibling

Sibling Camp Selection(s)

Week of June 20-24 (Child 2)

Week of June 27 - July 1 (Child 2)

Week of July 11-15 (Child 2)

Week of July 18-22 (Child 2)

Week of July 25-29 (Child 2)

August 1-5 (Child 2)

August 8-12 (Child 2)

Emergency Contact Info

Pick Up Authorization

Camper Photo Release

Camp Terms

Camp Payment