STEAM Summer 2021 Registration Form

STEM Initiative Registration

For the 3rd year in Fremont and 5th year in Hayward, we are excited to offer the STEM Initiative, a 4-week summer camp dedicated to empowering the next generation of innovators in the East Bay Area. This experience is offered free of charge, at no cost to the students.
Fremont Camp Site: 43475 Ellsworth Street, Fremont CA 94539

Camp Date: 6/8 - 7/2, 2026; Camp Hour: 9:00 -3:00 pm, Mon - Fri
Hayward Camp Site: 157 Smalley Ave., Hayward,(Spots are full, No more registration accepted)

Camp Date: 7/6 - 7/31, 2026; Camp Hour: 9:00 -3:00 pm, Mon - Fri
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Student General Information
Please select student's incoming grade level?*
School District?*
School Name?*
Student Full Name*

First NameLast Name
Birth Date*

MonthDayYear
Gender*
Camp Shirt?*
Parents (guardians) General Information
Mother Full Name*

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Mother Email Address*

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Mother Phone Number*

Area CodePhone Number
Father Full Name*

First NameLast Name
Father Email Address*

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Father Phone Number*

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The 4-week STEM Initiative Camp is free for participating students. Families are only responsible for the following items: Registration and Camp T-shirt. Field Trip is optional.*
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Registration Fee$50
Camp Registration Fee (not refundable)

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Camp Shirt$20
Camp Shirt (not refundable)

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Field Trips$100
Educational Field Trips (2 total)

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Total $0.00
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STEM Initiative Registration

Fremont Camp Site: 43475 Ellsworth Street, Fremont CA 94539

Hayward Camp Site: 157 Smalley Ave., Hayward,(Spots are full, No more registration accepted)

Student General Information

Parents (guardians) General Information