Registration for Three Week Summer Camp

Monday July 7, 2025 - Friday July 18, 2025

Please provide us with the information on the form on the right.

STEAM SCIENCE TECHNOLOGY/GAMING ENGINEERING ARTS MUSIC & MOVEMENT

Parent's Name

First Name

Last Name

Household Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Cell Phone

(###)

###

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Participants Information

Name

First Name

Last Name

Date of Birth

YYYY

Participant's Phone

(###)

###

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Alternate Adult

Other parent or emergency person

Name

First Name

Last Name

Phone

(###)

###

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