STEAM Camp Enrollment Form

Summer STEAM Camp Registration

Please note: Camp Hours are 9:00am - 4:00pm with drop off beginning at 8:30am and pick up ending at 4:15pm. Before and aftercare are available for an additional fee. Breakfast, lunch, and a snack are provided. Students are encouraged to bring a reusable water bottle. *See terms and conditions for additional details.
CHILD INFORMATION:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
EPIC Students Only: Student ID Number
Child Name

First NameLast Name
Birth Date

MonthDayYear
Grade
Child Name

First NameLast Name
Birth Date

MonthDayYear
Grade
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number*

Area CodePhone Number
E-mail*
MEDICAL INFORMATION
Emergency Contact 1*
First and Last Name/ Relationship
Emergency Contact 1 Phone Number *
Emergency Contact 2
First and Last Name/ Relationship
Emergency Contact 2 Phone Number
Physician Name

First NameLast Name
Phone Number

Area CodePhone Number
Medical Concerns*
Please include any allergies. Type N/A for no allergies.
Yes, I need before care (7:00am-8:30am) and after care (4:15pm-5:30pm) for $5/day.No, my camper will attend camp from 9:00am-4:00pm (Drop off beings at 8:30am; Pick up ends at 4:15pm)

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Summer Camp Weekly Registration - Early Reg Sale$85.00

Students will enjoy a full week of STEAM (Science, Technology, Engineering, Art and Math) activities. Activities will vary and include science projects, summer inspired art, engineering challenges, culinary arts, and more! Field trips are also included in pricing. Early registration ends May 15th! Prices after May 15th will be $100/week.

8 Week Summer STEAM Camp $650.00

Best Value! Field Trip Days included! Students will enjoy 8 weeks of STEAM (Science, Technology, Engineering, Art and Math) activities. Activities will include science projects, summer inspired art, engineering challenges, culinary arts, and more!

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For questions or assistance email showard@pteinc.org or call (405) 254-8848.
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Summer STEAM Camp Registration

CHILD INFORMATION:

PARENT/GUARDIAN INFORMATION:

MEDICAL INFORMATION