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
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Please click one of the PayPal options to complete payment and
submit
the form.
Submit
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