STEAM WORKS STUDIO - Summer Camps 2017 Registration

Summer Camp 2017 Registration

Make.. Create.. Innovate..
Prices as low as $365 for full day camp and $210 for half day camp. (After Grand Opening Discount, Multi-week Discount and Sibling Discount)

Please use Google Chrome browser for registration

PLEASE READ

1. Please carefully check the Summer Camp 2017 PDF to choose the weeks of Camps.
2. Late pick up ends at 5:30 pm.
3. 5% Sibling discount on second Camper cost, 10% Sibling discount on third Camper cost. Discount applied automatically at checkout.
4. Please make sure to click the Print Form button to print your final selections and retain it.
5. For Full Day campers be sure to pack a Healthy nut free lunch. Alternatively, hot healthy lunch is available in the Primary Prep Cafeteria for $5 per meal. Vegetarian options available.
6. Registering for 5 weeks or more? Get $25 off per week for full day registrations and $15 off per week for half day registrations, call us at 855-STEAMTRAIN (855-783-2687) or email us at hudson@steamworksstudio.com to get your unique coupon code.
7. Grand Opening Discount. $50 off per week for Full day Registrations & $20 off per week for Half Day Registrations. Discount applied automatically at checkout.
8. Camps will be held at two locations:
05 June 2017 to 23 June 2017 and 21 Aug 2017 to 25 Aug 2017
Brunswick Center, 189 Brunswick St, Jersey City, NJ 07302
26 June 2017 to 18 Aug 2017
Primary Prep School, 41 Tuers Ave, Jersey City, NJ 07306
How many Campers are you registering?
Number of Campers

Camper One
Number of Camp Weeks for Camper One *
How many weeks of Camps?
Camper 1 Name *

First Name Last Name
Camper 1 Age *
Camper One Special Medical Info or Food Allergies
Describe if special requirement ex Uses EpiPen
Camp Week 1 Options *
Camp Week 1 (MORNING) *
Camp Week 1 (AFTERNOON) *
Camp Week 2 Options *
Camp Week 2 (MORNING) *
Camp Week 2 (AFTERNOON) *
Camp Week 3 Options *
Camp Week 3 (MORNING) *
Camp Week 3 (AFTERNOON) *
Camp Week 4 Options *
Camp Week 4 (MORNING) *
Camp Week 4 (AFTERNOON) *
Camp Week 5 Options *
Camp Week 5 (MORNING) *
Camp Week 5 (AFTERNOON) *
Camp Week 6 Options *
Camp Week 6 (MORNING) *
Camp Week 6 (AFTERNOON) *
Camp Week 7 Options *
Camp Week 7 (MORNING) *
Camp Week 7 (AFTERNOON) *
Camp Week 8 Options *
Camp Week 8 (MORNING) *
Camp Week 8 (AFTERNOON) *
Camp Week 9 Options *
Camp Week 9 (MORNING) *
Camp Week 9 (AFTERNOON) *
Camp Week 10 Options *
Camp Week 10 (MORNING) *
Camp Week 10 (AFTERNOON) *
Camp Week 11 Options *
Camp Week 11 (MORNING) *
Camp Week 11 (AFTERNOON) *
Camp Week 12 Options *
Camp Week 12 (MORNING) *
Camp Week 12 (AFTERNOON) *

Camper Two
Number of Camp Weeks for Camper Two *
How many weeks of Camps?
Camper Two Name *

First Name Last Name
Camper Two Age *
Camper Two Special Medical Info or Food Allergies
Describe if special requirement ex Uses EpiPen
Camp Week 1 Options *
Camp Week 1 (MORNING) *
Camp Week 1 (AFTERNOON) *
Camp Week 2 Options *
Camp Week 2 (MORNING) *
Camp Week 2 (AFTERNOON) *
Camp Week 3 Options *
Camp Week 3 (MORNING) *
Camp Week 3 (AFTERNOON) *
Camp Week 4 Options *
Camp Week 4 (MORNING) *
Camp Week 4 (AFTERNOON) *
Camp Week 5 Options *
Camp Week 5 (MORNING) *
Camp Week 5 (AFTERNOON) *
Camp Week 6 Options *
Camp Week 6 (MORNING) *
Camp Week 6 (AFTERNOON) *
Camp Week 7 Options *
Camp Week 7 (MORNING) *
Camp Week 7 (AFTERNOON) *
Camp Week 8 Options *
Camp Week 8 (MORNING) *
Camp Week 8 (AFTERNOON) *
Camp Week 9 Options *
Camp Week 9 (MORNING) *
Camp Week 9 (AFTERNOON) *
Camp Week 10 Options *
Camp Week 10 (MORNING) *
Camp Week 10 (AFTERNOON) *
Camp Week 11 Options *
Camp Week 11 (MORNING) *
Camp Week 11 (AFTERNOON) *
Camp Week 12 Options *
Camp Week 12 (MORNING) *
Camp Week 12 (AFTERNOON) *

Camper Three
Number of Camp Weeks for Camper Three *
How many weeks of Camps?
Camper Three Name *

First Name Last Name
Camper Three Age *
Camper Three Special Medical Info or Food Allergies
Describe if special requirement ex Uses EpiPen
Camp Week 1 Options *
Camp Week 1 (MORNING) *
Camp Week 1 (AFTERNOON) *
Camp Week 2 Options *
Camp Week 2 (MORNING) *
Camp Week 2 (AFTERNOON) *
Camp Week 3 Options *
Camp Week 3 (MORNING) *
Camp Week 3 (AFTERNOON) *
Camp Week 4 Options *
Camp Week 4 (MORNING) *
Camp Week 4 (AFTERNOON) *
Camp Week 5 Options *
Camp Week 5 (MORNING) *
Camp Week 5 (AFTERNOON) *
Camp Week 6 Options *
Camp Week 6 (MORNING) *
Camp Week 6 (AFTERNOON) *
Camp Week 7 Options *
Camp Week 7 (MORNING) *
Camp Week 7 (AFTERNOON) *
Camp Week 8 Options *
Camp Week 8 (MORNING) *
Camp Week 8 (AFTERNOON) *
Camp Week 9 Options *
Camp Week 9 (MORNING) *
Camp Week 9 (AFTERNOON) *
Camp Week 10 Options *
Camp Week 10 (MORNING) *
Camp Week 10 (AFTERNOON) *
Camp Week 11 Options *
Camp Week 11 (MORNING) *
Camp Week 11 (AFTERNOON) *
Camp Week 12 Options *
Camp Week 12 (MORNING) *
Camp Week 12 (AFTERNOON) *

Parent Name *

First Name Last Name
Parent E-mail *
Parent Cell Phone Number *
Release of Liability:

I hereby agree to be responsible for the conduct and actions of my child and release STEAM WORKS STUDIO and their employees/staff from any claims and demands that may occur during participation in classes which may arise from incidents/accidents involving my child, held on any premises where STEAM Works Studio conducts its business, to the extent allowed by law.
Signature *

Clear
Permission for Release of Content:

For STEAM WORKS STUDIO publications, website, and social media including Facebook and Twitter, for participants in classes, camps, and activities, I hereby consent that my child’s image, and likeness, as shown in videos, photographs, film, and/or electronics images and/or audio recordings of my child’s voice may be used by STEAM WORKS STUDIO for purposes of event documentation, media coverage, and promotion, and are the sole property of STEAM WORKS STUDIO.
Signature *

Clear
Sub-Total ($)
Multi Week Discount Coupon
Signing up for 5 weeks or more? Email or call to get unique coupon code
Coupon Discount ($)
Calculation
Total ${calculation}
Paying by check? *

No Yes

Payment Info

USD Amount to be paid

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

Should be Empty:

Summer Camp 2017 Registration