SummerTech 2023 Registration
This form is only for those who wish to pay by check. Upon submission you will receive an email confirming your registration information. Payment due is 50% of total until April 1. Full payment is due by April 1. Please print PDF enclosed and mail check per instructions in PDF.
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
Camper Name
*
First Name
Last Name
Camper Date of Birth
*
-
Month
-
Day
Year
Date Picker Icon
Camper Gender
*
Please Select
Female
Male
Non-Binary
Transgender Female
Transgender Male
Choose Camper Weeks
*
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( X )
Two Week Overnight (Weeks B & C + Wknd)
July 2 through July 14 includes dorm, meals, and all SummerTech instruction and activities.
$
4,500.00
Week A Commuter (June 25 - June 30)
Includes lunch, dinner, and all SummerTech instruction and activities.
$
1,400.00
Week B Commuter (July 2 - July 7)
Includes lunch, dinner, and all SummerTech instruction and activities.
$
1,400.00
Week B Overnighter (July 2 - July 7)
Includes dorm, breakfast, lunch, dinner, and all SummerTech instruction and activities.
$
2,025.00
Week C Commuter (July 9 - July 14)
Includes lunch, dinner, and all SummerTech instruction and activities.
$
1,400.00
Week C Overnighter (July 9 - July 14)
Includes dorm, breakfast, lunch, dinner, and all SummerTech instruction and activities.
$
2,025.00
Week D Commuter (July 16 - July 21)
Includes lunch, dinner, and all SummerTech instruction and activities.
$
1,400.00
Week E Commuter (July 23 - July 28)
Includes lunch, dinner, and all SummerTech instruction and activities.
$
1,400.00
Week F Commuter (July 30 - August 4)
Includes lunch, dinner, and all SummerTech instruction and activities.
$
1,400.00
Choose your first week's course - you will choose additional weeks while at camp. We never close out a course as long as you have reserved a seat.
*
Please Select
Python
Java
2D Animation
3D Modeling
Food Allergies or Needs
*
No Allergies or needs
Dairy Free
Gluten Free
Peanut
Tree Nut
Some Raw Fruits or Vegetables
Carries epi-pen
Grade as of Fall 2023
*
Please Select
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
College Freshman
T-Shirt Size (adult sizes)
*
Please Select
XS
S
M
L
XL
XXL
If overnighting, do you have a roommate request? Otherwise leave blank.
Emergency Contact #1 Name
*
Full Name
Emergency Contact #1 Phone
*
Phone Number
Emergency Contact #2 Name
*
Full Name
Emergency Contact #2 Phone
*
Phone Number
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Submission and Payment
After submission you will receive an email with registration details. Payment due is at least 50% of the total until April 1. Full payment is due by April 1. Please print PDF enclosed and send with check made out to SummerTech to SummerTech, 800 Jackson Street, #403, Hoboken, NJ 07030. You will receive final confirmation upon receipt.
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