Program Interest Form
Parent/Guardian Full Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Student Name
First Name
Last Name
Grade Level (i.e. 6th, 7th, 8th etc):
Which program(s) are you interested in?(Check all that apply)
BMSSP Summer STEAM Program (June 23 – August 1)
STEAM-Y Saturdays (Saturdays 10 AM – 12 PM)
Financial Literacy for 8th Graders
Keyboarding & Music (Saturdays 9 AM – 10 AM)
Drumline (Launching Spring 2025)
April Vacation STEM Program (April 21–25, 2025)
Not sure yet – just want more info
Submit
Should be Empty: