Summer Camp Detailed Registration Form

STEAM CAMP 2025 - REGISTRATION FORM
Participant Information
Full Name:*

First NameLast Name
Birth Date:*

MonthDayYear
Gender:*

MaleFemale
School Name:*
Grade:*
Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
Full Name:*

First NameLast Name
Phone Number:*
Alternative Phone Number:
E-mail:
example@example.com
Emergency Information
Full Name:*

First NameLast Name
Relationship:*
Phone Number:*
Health & Medical Information
Does the participant have any allergies?*

NoYes
If yes, specify:
Does the participant have any medical conditions?*

NoYes
If yes, specify:
Does the participant require medication/inhaler?*

NoYes
If yes, specify details:
STEAM Camp Preferences & Experience
Has the participant attended any STEAM camps before?*

NoYes
If yes, specify:
Preferred Activity Areas (select at least 2).*

Animal Science & ExplorationEngineering & Hands-On ProjectsDigital Skills (Canva Editing, Data Tabulation, Presentations)Outdoor Challenges & Team BuildingCreative DIY & Innovation Activities
💳 STEAM Camp 2025 – Payment Details
To secure your spot, please complete your payment through Billplz using the link below:

🔗 Click Here to Pay

📌 Payment Instructions:
1️⃣ Click the link above.
2️⃣ Enter your details as required.
3️⃣ Select your payment amount based on your chosen installment plan or full payment.
4️⃣ Complete the transaction securely.
5️⃣ Upload your payment receipt to our team via WhatsApp at +60 17-741 8051 or attach it in this form as proof of payment.

📅 Payment Guidelines:
✔ A RM200 deposit is required to confirm your registration.
✔ Full payment must be completed by 30th June 2025.
✔ Early Bird Discount: 5% OFF for full payments made before 31st March 2025.
✔ SBE Students get an extra RM50 OFF!
You may upload your payment receipt here.

Cancelof
Payment Method:*

One-Time Payment (RM800 / RM750 for SBE Student)Flexible Installment Plan
Consent & Acknowledgement

I approve my child's participation in STEAM Camp 2025.
I understand the risks and release the organisers from liability for minor injuries.
I grant permission for basic first aid or medical treatment if needed.
Parent/Guardian Signature:

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Date:

MonthDayYear
Date
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STEAM CAMP 2025 - REGISTRATION FORM

Participant Information

💳 STEAM Camp 2025 – Payment DetailsTo secure your spot, please complete your payment through Billplz using the link below:

💳 STEAM Camp 2025 – Payment Details
To secure your spot, please complete your payment through Billplz using the link below: