2025 SUMMER CAMP REGISTRATION STEM+ARTS
July 14-18 | 8:30AM-12:30PM | THE LUKE LIFE CENTER, HUMBLE TX
Student's Name (Each student will need a separate registration)
*
First Name
Last Name
Student's gender
*
Male
Female
N/A
Student's Age
*
Ethnicity
*
African American
Hispanic
Asian
Caucasian
Other
Grade as of 2024-2025 academic school year?
*
PRE K-2 (AGE 4+)
3-6
What is your child's t-shirt size?
*
Please Select
Child XS
Child S
Child M
Child L
Child XL
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult 2XL
Current School District or Private/Charter School
*
Parent email
*
Parent cell phone number
*
Please enter a valid phone number.
Parent Highest Degree of Education
*
No degree
High School Diploma or GED
Some College
Associates
Bachelor's Degree
Master's Degree
Doctorate or higher
Parent/Household Annual Income *(Private for grant info only will not be shared)
*
$0-$24,999
$25,000-$49,999
$50,000-$99,999
$100,000-$149,999
$150,000+
Are you or so one in your imediate family in a S.T.E.M. career field?
*
YES
NO
Emergency Contact Name
*
First Name
Last Name
Relationship
*
Mother
Father
Grandparent
Aunt
Uncle
Sibling (over 17 years)
Babysitter/Nanny
Other
Does the student have any special needs, allergies, chronic illness, or medical conditions? If none please state none. If yes, please describe.
*
SLOAN STEM + Arts staff or volunteers CAN NOT administer medications during the camp.
PAYMENT
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2025 REGISTRATION
REGISTRATION SUMMER CAMP STEM+ARTS PREK-6TH GRADES EXP. 6/22/2025
$
275.00
SPONSORSHIP
SPONSOR A CHILD+EQUIPMENT
$
275.00
# of Kids
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Item subtotal:
$
0.00
DONATION
SPONSORSHIP
$
500.00
CAMP
EQUIPMENT
MAJOR
TITLE SPONOSR
SUPPORT
SUPPORT OUR STAFF
$
1,000.00
CAMP
EQUIPMENT
MAJOR
TITLE SPONOSR
Item subtotal:
$
0.00
EQUIPMENT
Computers | New technology
$
2,500.00
Quantity
1
2
3
4
5
6
7
8
9
10
Payment Methods
Debit or Credit Card
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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