Summer Camp Registration

This camp will focus on the science disciplines ranging from physical and life sciences to the formal and applied. Science is in everything that we do. The chemistry of processing food into energy that our bodies use, how solar panels produce electricity, the constant changes in the earth, nuclear energy's possibilities and AI, and the wonders of the world: all these aspects and more will be investigated in this STEM camp lead by educators at the American Museum of Science and Energy. Each day the camp will feature a variety of hands-on activities and guest speakers to inspire interest in a variety of fields.

Participant Full Name*

First NameLast Name

Grade Level (for the 2026-2027 school year)*

Date of Birth*

Date

Parent/Guardian Full Name*

First NameLast Name

Parent/Guardian Email Address*

example@example.com

Parent/Guardian Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact Name*

First NameLast Name

Emergency Contact Phone Number*

Please enter a valid phone number.Format: (000) 000-0000.

Who is allowed to pick up the camper?

Authorized Pickup Person 1 Name

First NameLast Name

Authorized Pickup Person 1 Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Authorized Pickup Person 2 Name

First NameLast Name

Authorized Pickup Person 2 Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Camp is for rising 5th-7th grade students.

Day 1

Dropoff: 8:30am. Pick up by: 3:00pm.

June 15 topics: Electricity, Forces in Motion, and Chemistry.

Day 2

Dropoff: 8:30am. Pick up by: 3:00pm.

June 16 topics: Space/Rain/Erosion, Geology, and Fossils.

Day 3

Dropoff: 8:30am. Pick up by: 3:00pm.

June 17 topics: Microscopes, Solar, and Nutrition

Day 4

Dropoff: 8:30pm, Pick up 5:00pm.

Registered campers are automatically signed up for pizza and soft drink with a scientist from 5:00pm-6:30pm.

Thursday June 18th is a special full day of nuclear themed technology, curriculum, and field trips.

Day 5

Dropoff: 8:30am, Pick Up 5:00pm.

Registered campers are automatically signed up for pizza and soft drink with a scientist from 5:00pm-6:30pm. Parents and families are encouraged to attend with their campers.

Friday June 19 will focus on AI and computing.

Which days will your child attend?*

Day 1 (June 15: Electricity, Forces in Motion, Chemistry)Day 2 (June 16: Weather Changes, Geology, Fossils)Day 3 (June 17: Microscopes, Solar, Nutrition)Thursday Special Camp (June 18: Nuclear Science & Field Trips)Friday Special Camp (June 19: AI & Computing, Evening Expert Event)

Will a parent or guardian attend the Thursday or Friday evening event?

Thursday Evening (June 18, Nuclear Science Expert & Pizza)Friday Evening (June 19, AI Expert & Pizza)

This camp will host multiple field trips away from the American Museum of Science and Energy. Clicking below acknowledges your child may leave the primary museum location.*

Yes, I grant permission for my child to leave the American Museum of Science and Energy

By submitting the form and giving your signature, you agree that you are the parent or legal guardians of the above-named camper(s) and are over the age of eighteen (18).*

Clicking is acknowledgement your camper's participation of and in multimedia photos and video for the purpose of marketing, promotions across media platforms.

By submitting the form and giving your signature, you agree that you are the parent or legal guardians of the above-named camper(s) and are over the age of eighteen (18).*

Clicking is acknowledgement your camper's participation of and in multimedia photos and video for the purpose of marketing, promotions across media platforms.

How many meals are you purchasing for Thursday's evening event?

How many meals are you purchasing for Friday's evening event?

Food and Beverage Preferences for Evening Events

PizzaSoft drinkBeer (21+ only)Other (please specify)

Additional Notes, Special needs, Comments or Food Allergies

Insurance Carrier

ID Number

Group Policy Number

Phone Number on the Back of the Insurance Card

Please enter a valid phone number.Format: (000) 000-0000.

Camper's Primary Care Physician

Physician Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Parent Signature

Pricing Options

Credit Card