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STEM Camp Registration
Child's Name *
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Grade (Current for 2016-2017) *
School Child will Be Attending During 2016--2017 *
Parent/Guardian *
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Phone Number *
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Physical Address *
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Emergency Contact Person *
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Emergency Contact Number *
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Any Allergies or other Information Teachers need to be made aware of. (Medications, Custodial Issues, etc) *
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