Art 2 Science Camp - Student Application
July 17-21, 2017
9 am to 5 pm


Application Information
This application is for student campers who will be between the ages of 8-12 on July 17.
Applications will be open until midnight on March 11, 2017.
You will be notified of our decision by March 18th.

Although you need to fill out separate applications for each child, decisions will be the same for all children in the same household. (For example, we will not accept one child and not their sibling)
In the case that the number of applicants exceeds our space, participating families will be chosen randomly.

Registration Information
This form is not a registration.
If your child(ren) are accepted, you will be notified about registration, which includes any payment, waivers and authorizations for the University of Notre Dame and the Joint Institute for Nuclear Astrophysics. If you have not heard from us by April 1st, please check your spam folder. It may help to add mkilburn@nd.edu to your safe senders list.

Fee Information
The camp fees are based on a sliding scale according to your household school lunch fees. Payment is due at the time of registration. If you homeschool, or don't know your lunch fee, please see the information here: http://www.fns.usda.gov/cnd/governance/notices/iegs/iegs.htm

If your family pays full lunch prices, the camp fee will be $150 per child.
If your family pays a reduced fee for lunches, the camp fee will be $50 per child.
If your family receives free lunches, the camp will be free for your children.

Information about Family
Also includes other general information not specifically about your child.
Parent Last Name
Your answer
Parent First Name
Your answer
Parent email address
Please provide a frequently checked email address as this is how we will communicate with you prior to the camp. You may also want to add mkilburn@nd.edu to your safe senders list to ensure you receive our communications.
Your answer
Phone number(s)
Please provide the best number(s) to reach you during the hours of the camp
Your answer
Address
Your answer
Zip Code
Your answer
Do you have other children applying to the camp as well?
Includes junior counselors
Have any of your children attended the JINA Art 2 Science Camp previously?
How did you learn about the JINA A2S Camp?
Your answer
Income based eligibility for school lunches
This determines your camp fee. Proof of income may be requested in some circumstances. For questions see http://www.fns.usda.gov/cnd/governance/notices/iegs/iegs.htm
Information about Child
First Name (or nickname)
Your answer
Last Name
Your answer
Age on July 17, 2017
Grade Entering in Fall 2017
Gender
Is your child up to date on all recommended vaccines?
Due to the large enrollment of the camp, students are required to be vaccinated
Shirt Size
Does your child have any dietary restrictions?
All lunches and snacks will be nut-free. We will notify parents of which options will be available for lunches.
Barring illness and unexpected events, will your child be able to attend every day of the camp?
Are there any academic or social concerns about your child? If yes, please explain.
Answers to this question will not be used in the acceptance process, but for group assignments if accepted.
Your answer
Other comments
Your answer
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