STEAM Summer 2021 Registration Form

STEM Initiative Registration

For the 4th year in a row, we are excited to offer the STEM Initiative, a 4-week summer camp dedicated to empowering the next generation of innovators in Hayward. This experience is offered free of charge, at no cost to the student..
Camp Site: 157 Smalley Ave., Hayward, CA 94541;

Camp Date: 7/7 - 8/8/ 2025; Camp Hour: 9:00 -3:00 pm, Mon - Fri
How do you know us?*
Attendance Deposit (Refundable Upon Completion)

To ensure that students fully participate, we require a $50 refundable deposit to hold your child’s spot. This deposit will be refunded in full at the end of the program as long as your child attends at least 80% of the session.”
Parent Signature*

Clear
Student General Information
Please select your child'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*

First NameLast Name
Mother Email Address*

Confirmation Emailexample@example.com
Mother Phone Number*

Area CodePhone Number
Father Full Name*

First NameLast Name
Father Email Address*

Confirmation Emailexample@example.com
Father Phone Number*

Area CodePhone Number
Your support keeps our gears going!! As a nonprofit program, it would not be possible without the continued generosity and financial/material/fiedl trip support. We would greatly appreciate financial contributions of any amount.

donate $20 for a camp shirtdonate $30 for a camp materialdonate $50 for museum field tripOther
My Products*
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Attendance Deposit It's refundable as long as the student's participation is more than 80%
$50.00 Quantity



Donation for the camp shirt(optional)
$20.00 Quantity



Donation for the material fee(optional)
$30.00 Quantity



Donation for the museum visit(optional)
$50.00 Quantity



Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

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STEM Initiative Registration

Camp Site: 157 Smalley Ave., Hayward, CA 94541;

Attendance Deposit (Refundable Upon Completion)

Student General Information

Parents (guardians) General Information