Registration for Reddie, Set, Design "Lost in Space" Summer Camp Grades 7-9
Please fill out this form and submit to register for ""Lost in Space" camp presented by The STEM Center at Henderson State University , at the Reynolds Science Building at HSU. Each day, the camp will run from 8:00-3:00 on July 26-28, 2017. Students will be required to bring their lunch each day. Tuition is FREE thanks to a generous contribution from SUDDENLINK/ALTICE USA)
Date of birth
School and Grade last completed
Cell Phone Number if Applicable
Do you have any special medical requirements that we need to be aware of?
Shirt size (adult sizes)
Parent/Guardian Contact Numbers
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