STEM Summer Camp

Registering for

STEAM ManiaRoboticsCode Mania

June 10 - June 14July 29 - Aug 2

June 24 - June 28July 8 - July 12July 22 - July 28

June 17 - June 21July 15 - July 19Other

Student Name*

First NameLast Name

Student's Date of Birth*

Date of Birth

Grade*

School*

School District*

Allergies (Please write "NONE" if your child(ren) has no allergies)*

Mother Name*

First NameLast Name

Mother Email*

example@example.com

Mother Phone Number*

Please enter a valid phone number.

Father Name*

First NameLast Name

Father Email*

example@example.com

Father Phone Number*

Please enter a valid phone number.

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Mother (as mentioned above)Father (as mentioned above)Other

Relation to the child*

Name*

First NameLast Name

Email*

example@example.com

Phone Number*

Please enter a valid phone number.

Mandatory Pickup/ Drop-Off Policies and Procedures*

Minimum 2 weeks*

Grades K-5

Engineering & Robotics

(Closed on June 06)