STEAM Camp Registration
May 29, 2019
at the Southwest Plains Conference Center
810 W. Lark Avenue, Sublette

Ages 9 - 11
8:30 am - 11:30 am

Ages 5 - 8
12:00 pm - 3:00 pm

$15 per child

Note: Activities at STEAM Camp are appropriate for ages 5 - 11.
Please do not register your child if he or she is younger than 5 or older than 11.

First name *
of child attending camp
Your answer
Last Name *
of child attending camp
Your answer
Age of child attending camp *
Your answer
Name of Parent or Guardian *
please give first and last name
Your answer
Cell Phone of parent or guardian *
(Please provide a number where you can be reached during the time your child is at camp)
Your answer
Parent's E-Mail Address *
Your answer
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