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STEM SUMMER CAMP 2023
Are you ready for summer? Join us for the annual hands-on learning 1-week STEM camp designed for 6th, 7th, and 8th graders in Hayward (California), starting June 26, 2023 through July 28, 2023.
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What language do you prefer for this application? ¿Prefieres esta aplicación en español?
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Great! Tell us your First and Last name.
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First Name
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What is the best way to contact you?
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Email
Phone
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Based on your answer, we will use email as the best way to contact you.
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Please enter the email address you check every day.
example@example.com
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Enter your mobile number, in case we need to call or send an important SMS message.
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Area Code
Phone Number
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Enter your mobile number, in case we need to call or send an important SMS message.
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Area Code
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Is this number a landline or mobile phone?
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This is my direct cell phone.
We only use a landline.
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Does this work in case of emergencies? If not, which contact method should we use?
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Yes, it works for emergency contact.
No, not really.
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Enter your best back up email account. This is one you check once in awhile.
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10
What is the first and last name of the kid you are registering?
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First Name
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11
And how old are they?
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10 years old
11 years old
12 years old
13 years old
14 years old
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12
What grade will they be entering next year?
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6th grade
7th grade
8th grade
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13
School District of Your Child Attending
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What school does your child attend?
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15
Your Child's Incoming Grade Level
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G6
G7
G8
G6
G7
G8
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16
What is the child's Birth date?
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Month
Day
Year
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17
Gender
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Male
Female
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18
Home Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
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Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
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Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
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Cambodia
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Canada
Cape Verde
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Central African Republic
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China
Christmas Island
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Cuba
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Fiji
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The Gambia
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Kenya
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Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
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Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
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Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
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Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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19
Email
example@example.com
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20
Mother Full Name
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First Name
Last Name
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21
Mother Email Address
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example@example.com
Confirm Email
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22
Mother Phone Number
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Area Code
Phone Number
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23
Father Full Name
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First Name
Last Name
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24
Father Phone Number
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Area Code
Phone Number
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25
Father Email Address
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example@example.com
Confirm Email
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26
Is Your Child in a FREE Lunch Program
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Yes
No
Yes
No
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27
Number of Family Members in Home (adults and children)
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1-2
3
4
5
6+
1-2
3
4
5
6+
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28
Total Household Gross Annual Income in 2021
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Under $70,668
Under $78,132
Under $89,292
Under $103,584
Under $117,876
Other
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29
Reasons your student would like to join the summer camp
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30
Things you would like us to know
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31
Please select session(s) your child would like to attend. (maximum 3)
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<span style="font-size: 11.004px; display: inline !important;">6/26 - 6/30</span>
<span style="font-size: 11.004px; display: inline !important;">7/3 - 7/7, No camp 7/4</span>
<span style="font-size: 11.004px; display: inline !important;">7/10 - 7/14</span>
7/17 - 7/21
7/24 - 7/28
Please Select
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
Please Select
<span style="font-size: 11.004px; display: inline !important;">6/26 - 6/30</span>
Row 0, Column 0
<span style="font-size: 11.004px; display: inline !important;">7/3 - 7/7, No camp 7/4</span>
Row 0, Column 1
<span style="font-size: 11.004px; display: inline !important;">7/10 - 7/14</span>
Row 0, Column 2
7/17 - 7/21
Row 0, Column 3
7/24 - 7/28
Row 0, Column 4
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