STEAM Summer 2021 Registration Form

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.
CLOSE:: Fremont Camp Site: 43475 Ellsworth Street, Fremont

Camp Date: 6/8 - 18; Jul 20-31, 2026; Camp Hour: 9:00 -3:00 pm, Mon - Fri
Hayward Camp Site: 157 Smalley Ave., Hayward

Camp Date: 6/22- 7/17, 2026; Camp Hour: 9:00 -3:00 pm, Mon - Fri
Choose Campus

Please select Sessions your child would like to attend.

Rows	STEM Camp
Week 1 & 2
Week 3 & 4

How do you know us?
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

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
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)

Quantity
Item subtotal:$0.00

Camp Shirt$20
Camp Shirt (not refundable)

Quantity
Item subtotal:$0.00

Field Trips$100
Educational Field Trips (2 per session)

Quantity
Item subtotal:$0.00

Total $0.00
Payment Methods

Fastlane Checkout

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

Contact Info

Payment Info
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