Registration Form

Discovery Summer: ENGINE BUILDING BOOTCAMP

is presented by the National Motorsports Association, its partners, Summer Discovery sponsors and supporters. The program includes Math, Literacy, Automotive/Motorsports. Parent, please complete one registration form per child. contact@nmadetroit.com - website: https:://www.nmadetroit.org vM 586-585-6949
Child's full Name

First NameLast Name
What grade level will your child be entering this upcoming school year (2026-27)?
Which school did your child attend this past school year? If multiple, please write the school where they ended the year.
Enter the school name.
Does your child have any medical conditions or allergies or dietary restrictions?
Does your child have a special education plan, individual education plan (IEP), or 504 plan as a part of their school’s education?
Did your child attend a Summer Discovery program last year (2025)?
Parents's full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Secondary/Emergency Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
How did you hear about us
Name of referring person/organization/company
Is your child an English learner or English as a second language student?
At school, is your family eligible to receive free lunch?
What is your child’s gender?
What is your child’s racial and/or ethnic identity?
What is your child's date of birth?

MonthDayYear
Date
Please share the ZIP code of the school your child attends now. If multiple, please write the ZIP code where they ended the year.
Notes
Use this space for any additional details.
Host location: North Rosedale Park Community Center, 18445 Scarsdale St, Detroit, MI 48223. Parents will be responsible for transportation to & from location. Drop off between 8:40a - 9a and pick up at 4p - 4:10p. Mon.-Fri.
Along with assessments, students in rising grades 3-10 will be asked to complete a post-survey after the program so that we can evaluate any program-related successes and challenges this year in order to continue to improve Summer Discovery to best serve all students and families. No further action is required to provide consent for your child to participate. If you would prefer that your child not participate, please notify - ATTENTION: T. Bell at contact@nmadetroit.com confirming you would like to opt-out of student survey.
By submitting this enrollment application, I, the parent/guardian, consent to be contacted by Summer Discovery administration and/or service providers.
Parent/Guardian Signature
Should be Empty:

Discovery Summer: ENGINE BUILDING BOOTCAMP