Challenger's Summer Camp 2016: Behind the Scenes Science Camp
Use the form below to apply for Challenger's Summer Camp: Behind the Scenes Science Camp,July 18-22, 2016.  The camp will run from 9:00 AM -3:00 PM (drop off 8-9, pick up 3-4), and is open to students entering grades 4-6.

After applying, you will receive an email confirming if space is available for your child.  Attending campers will then receive further details on preparation for camp, payment instruction, and medical/photo consent forms by email.

Note: Please complete one request form for each child.
Sign in to Google to save your progress. Learn more
Child's Name *
Parent/Guardian's Name *
Mailing Address: *
(Street, Town, State, Zip)
Phone Number *
Email Address *
Email Address Confirmation *
Please retype your email address for confirmation
Child's Grade Level Fall 2016 *
Child's School
Does you child have allergies/ medical condition(s)/ special needs: *
If yes, does the condition require your child to have access to mediciation during camp?  Please explain.
Would your child be taking any medication during the camp day: *
If yes, please explain further.
Does your child have special accomodations at school: *
If yes, please explain further.
Do you wish to be added to the Challenger Learning Center of Maine email list?
Clear selection
Do you qualify for a 5% military discount?
[Campers with active military parent/guardian]
Clear selection
How did you hear about summer camp?
Clear selection
Additional Comments:
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms