STEM Camp Registration Form, June 3-8, 2024. Camp begins daily at 9 am and ends at 2pm, Monday to Saturday

STEM Camp Registration Form, June 3-8, 2024. Camp begins daily at 9 am and ends at 2pm, Monday to Saturday

To book for a place in the the camp, you must complete the form below accurately.
Your Name

First NameLast Name
Birth Date

MonthDayYear
Home Phone Number
Mobile Number
Email Address
example@example.com
Desired Name Tag
Primary Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select Camp shirt size

SmallMediumLargeExtra-large
Please provide any medical or dietary restrictions you have
How did you hear about Camp?

Your Reason For Attending This Camp
In 300 words or less, please describe your reasons for wishing to attend this camp.

0/300
Should be Empty: