SummerTech 2023 Two-Week Overnight Early Bird Registration
SummerTech Two-Week Overnight is from July 2 to July 14. This form is only for those who wish to pay by check. Upon submission you will receive an email confirming your registration information. Please print PDF enclosed in that email and mail check per instructions in PDF. Your reservation will be held until payment is received by December 1. Please fill out a separate form for each camper.
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
*
prev
next
( X )
Two Week Overnight (July 2 - 14)
Includes dorm, meals, and all SummerTech instruction and activities.
$
4,500.00
Roommate Request - First and Last Name
If you have no specific roommate request we will pair your camper by cisgender and age. If you have no request please leave blank.
Choose your first week's course - you will choose additional week's courses while at camp. You can stay with the same course or try a new one. We never close out a course as long as you have reserved a seat. You may change your course choice at any time before your start date.
*
Please Select
Python
Java
2D Animation
3D Modeling
Food Allergies or Needs
*
No Allergies or needs
Dairy Free
Gluten Free
Peanut
Tree Nut
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
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
To receive the early bird discount, payment is at least 50% of the total cost due by now. Full balance due by April 1, 2023. Please print PDF enclosed and send with check made out to SummerTech to: SummerTech, c/o Steven Fink, 800 Jackson Street, #403, Hoboken, NJ 07030. You will receive final confirmation upon receipt.
Submit
Should be Empty: