2018 Summer S.T.E.A.M. Up Registration
Hosted by Mt. Erie Community Partner

Now offering 4-week sessions of intense Science, Technology, Entrepreneurship, Arts, and Mathematics. Program hours are Monday-Friday from 8am-3pm. Each day we provide Breakfast and Lunch. Snack is available when you are enrolled in the Extended Hours Session.

REGISTRATION FEE: $35 PER STUDENT

Sign Up/Referral Code:
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Register my student for the following (check all that apply): *
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Student's First Name *
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Student's Last name *
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Student's Date of Birth *
ex (01/01/95)
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Student's t-shirt size *
Student's Gender *
Student's Primary Language *
Required
Student's Race/Ethnicity *
Does this child have a sibling(s) who currently participates, or has participated in a MECP program? *
What type of school does this child attend? *
What school did this student attend in 2017-18? *
Your answer
What grade was your child enrolled in during the past school year (2017-18)? *
Has this student been in foster care at any point in his or her life? *
Does your child participate in any of the following educational programs? *
Has a doctor, heath professional, teacher, or school official ever informed you that your child has a learning disability? *
If you answered YES to the previous question please explain:
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Has this student ever repeated a grade? *
Has this student ever attended a MECP summer program before? *
What is this student's reading proficiency level? *
What is this student's math proficiency level? *
What is the parent's name? *
Your answer
What is your (parent/guardian) highest level of education?
What is the zip code of your residence? *
What is street name and number? *
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What is your phone number? *
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What is your email address? *
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How did you find out about the MECP summer program? *
What is the annual household income? *
Number of adults and dependents in the household? *
Acknowledgement of STEAM Up Behavioral Policies & Photo Release
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