Registration Form

STEM Summer Camp Registration 2017
Member: I am a member I am not a member
Member #:
Child's first name:
Child's last name:
Grade Entering in Fall of 2017:
Birthday:
Age:
Parent's first name:
Parent's last name:
Mailing address:
City:
State/Province:
Zip/Postal Code:
Phone number:
Email address:
Please check which camp(s) your child will be attending:
Grades K - 1 *Must be 5 years old as of September 30, 2017 06/26 - 06/30 Start Your Engines I 07/03 - 07/07 Science Explorers I (4 day Camp - No Camp on July 4th) 07/10 - 07/14 Robocamp I 07/17 - 07/21 Astronaut Academy I 07/24 - 07/28 Blast Off I 07/31 - 08/04 Kooky Contraptions 08/07 - 08/11 Wright Flight Adventure I 08/14 - 08/18 A “LittleBit” More Robotics… I Grades 2-3 06/26 - 06/30 Start Your Engines II 07/03 - 07/07 Science Explorers II (4 day Camp - No Camp on July 4th) 07/10 - 07/14 Robocamp II 07/17 - 07/21 Astronaut Academy II 07/24 - 07/28 Blast Off II 07/31 - 08/04 Gadgets and Gizmos 08/07 - 08/11 Wright Flight Adventure II 08/14 - 08/18 A “LittleBit” More Robotics… II Grades 4-5 06/26 - 06/30 Max Speed I 07/03 - 07/07 Science Explorers III (4 day Camp - No Camp on July 4th) 07/10 - 07/14 Intro to NASA Robotics I 07/17 - 07/21 Bound for Mars I 07/24 - 07/28 Blast Off! III 07/31 - 08/04 Engineer It! I 08/07 - 08/11 Flight Lab I 08/14 - 08/18 Advanced NASA Robotics I Grades 6-8 06/26 - 06/30 Max Speed II 07/03 - 07/07 Science Explorers IV (4 day Camp - No Camp on July 4th) 07/10 - 07/14 Intro to NASA Robotics II 07/17 - 07/21 Bound for Mars II 07/24 - 07/28 Blast Off! IV 07/31 - 08/04 Engineer It! II 08/07 - 08/11 Flight Lab II 08/14 - 08/18 Advanced NASA Robotics II
Extended Program:
Add Care Package: None Before Care After Care Both Before & After Care
Add Weekly Lunch: No Yes
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Grades K - 1 *Must be 5 years old as of September 30, 2017

Grades 2-3

Grades 4-5

Grades 6-8